LISA CROCKOM

LOS ANGELES, CA
NPI1730722539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2019-10-24
Last Update Date2019-10-24
Business Address
LISA CROCKOM
1838 E. BADILLO STREET APT 1
LOS ANGELES, CA 90001
Phone number: 626-324-2190
Mailing Address
LISA CROCKOM
1838 E BADILLO ST APT 1
WEST COVINA, CA 91791-1107
Phone number: