NPI 1013235241
Derrick N Crumpler, DIRECTSERVICEPROVI
Practice location
- Address
- 5823 Fire Poppy Dr, Elk Grove, CA 95757-2848
- Phone
- (916) 247-6058
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1013235241
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 May 2010
- Record last updated
- 12 May 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.