| Mr Gary Crotteau, | |
|
1434 Porter St, Frederick, MD 21702-9210 | |
| (301) 619-5115 | |
| (301) 619-7676 |
| Full Name | Mr Gary Crotteau |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 1434 Porter St, Frederick, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841419801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN044173 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gary Crotteau, 1434 Porter St, Frederick, MD 21702-9210 Ph: (301) 619-5115 | Mr Gary Crotteau, 1434 Porter St, Frederick, MD 21702-9210 Ph: (301) 619-5115 |
Mrs. Jennalyn Elizabeth Carswell, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 8032 Liberty Rd, Frederick, MD 21701 Phone: 301-846-0090 | |
Marilyn Lamb, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1434 Porter St, Frederick, MD 21702 Phone: 301-677-8270 | |
Mrs. Erica Lashon Henderson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1434 Porter St, Frederick, MD 21702 Phone: 301-619-5115 | |
Stephane O Minlo, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1704 Trotter St, Frederick, MD 21702 Phone: 240-905-9284 |