person
Ms. Everette Denette Crudup
Student in an Organized Health Care Education/Training Program in Victorville, California
NPI 1407509474

Everette Denette Crudup is a Student in an Organized Health Care Education/Training Program based in Victorville, CA. Everette Denette Crudup practices in Victorville, CA. The NPI Number for Everette Denette Crudup is 1407509474 and holds a License No. (California).

The current practice location address for Everette Denette Crudup is 15400 Cholame Rd, Victorville, CA and can be reached out via phone at 760-243-5417.

Location: 15400 Cholame Rd, Victorville, CA, 92392-2480
person
Provider Profile Details
NPI Number
1407509474
Provider Name
Everette Denette Crudup
Credential
Provider Entity Type
Individual
Gender
Female
Address
15400 Cholame Rd, Victorville, CA, 92392-2480
Phone Number
760-243-5417
Fax Number
Provider Enumeration Date
01/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15400 Cholame Rd
City
State
Zip
92392-2480
Phone Number
760-243-5417
Fax Number
person
Provider Business Mailing Address Details
Address
15400 Cholame Rd
City
State
Zip
92392-2480
Phone Number
760-243-5417
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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