Individual provider · Type 1 NPI

Everette Denette Crudup

Student in an Organized Health Care Education/Training Program · Victorville, CA

NPI number 1407509474 Active

Practice location

15400 Cholame Rd
Victorville, CA 92392-2480

Call (760) 243-5417 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

19 other providers at this address

Other student in an organized health care education/training program providers in Victorville

See all in Victorville →

About NPI 1407509474

Everette Denette Crudup's National Provider Identifier is 1407509474, issued on Jan 31, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Victorville, CA. The record was last updated on Jan 31, 2022.