SearchCalifornia376J00000X

Derrick Crumpler, DIRECT SERVICE PROVI

NPI 1013235241 · on the registry since 2010 · sole proprietor

Practice

Address
5823 Fire Poppy Dr
Elk Grove, CA 95757
Phone
(916) 247-6058

Registry record

Primary taxonomy
376J00000X
376J00000X
Sex
Male
Record last updated
2010-05-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California