DERRICK N CRUMPLER

ELK GROVE, CA
NPI1013235241
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Enumeration Date2010-05-12
Last Update Date2010-05-12
Business Address
-- DERRICK N CRUMPLER Direct Service Provi
5823 FIRE POPPY DR
ELK GROVE, CA 95757-2848
Phone number: 916-247-6058
Mailing Address
-- DERRICK N CRUMPLER Direct Service Provi
5823 FIRE POPPY DR
ELK GROVE, CA 95757-2848
Phone number: 916-247-6058