Maryliz Crockett
NPI #1902255698 in Mitchell, South Dakota
Provider Information
- NPI Number
- 1902255698
- Entity Type
- Individual
- Name
- Maryliz Crockett
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - School
- Enumeration Date
- Jun 3, 2016
- Last Updated
- Jun 3, 2016
Practice Location
- Address
- 110 N MENTZER ST
- City
- Mitchell
- State
- South Dakota
- ZIP Code
- 57301-8001
- Phone
- (605) 995-3021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - School — School |
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