Tanja Virginia Crockett
ActiveCalifornia license A75352
License
- Licensed by
- Medical Board of California
- License number
- A75352
- Status
- Active (Current)
- First issued
- June 27, 2001
- Expires
- September 30, 2028
- License holder
- Tanja Virginia Crockett
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
3811 Valley Centre Dr
San Diego, CA 92130
San Diego, CA 92130
San Diego County