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Everette Crudup
NPI 1407509474 · on the registry since 2022
Practice
- Address
- 15400 Cholame Rd
Victorville, CA 92392 - Phone
- (760) 243-5417
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-31
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