Mr. Brandon Ira Crockett
Mr. Brandon Ira Crockett is a Community Health Worker in Bloomfield, New Mexico. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
101 E Broadway AveBloomfield, NM 87413-6235
Phone: (505) 330-8220
Fax: (505) 234-7867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1558956375 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 3, 2021 |
| Last updated in NPPES | March 3, 2021 |
| Certification date | March 3, 2021 |
Other providers in Bloomfield
-
Telecia Crockett
101 E Broadway Ave, Bloomfield, NM 87413-6235 · (505) 330-8220
-
Colleen Hudson
101 E Broadway Ave, Bloomfield, NM 87413-6235 · (505) 330-8220