SUSAN LUELLA CROCKETT

SALEM, VA
NPI1093366700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2019-09-24
Last Update Date2019-09-24
Business Address
SUSAN LUELLA CROCKETT
803 CRAIG AVE
SALEM, VA 24153-2839
Phone number: 540-793-7729
Mailing Address
SUSAN LUELLA CROCKETT
229 UNION ST
SALEM, VA 24153-4929
Phone number: 540-397-1355