DOMINIQUE CROCKER

LAS VEGAS, NV
NPI1215485636
Entity TypeOrganization
Authorized ContactDOMINIQUE LAKHIL CROCKER
Mentor
702-955-7708
Organization Subpart ?No
Primary Taxonomy251B00000X Case Management
Enumeration Date2016-09-14
Last Update Date2016-09-14
Business Address
DOMINIQUE CROCKER
917 WILLOW TREE DR #A
LAS VEGAS, NV 89128
Phone number: 702-955-7708
Mailing Address
DOMINIQUE CROCKER
917 WILLOW TREE DR UNIT A
LAS VEGAS, NV 89128-3321
Phone number: 702-955-7708
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