Individual
MS. TIA MONIQUE CRAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
308 S BOUNDARY ST, WILLIAMSBURG, VA 23602-4006
(804) 481-1804
Mailing address
308 S BOUNDARY ST, WILLIAMSBURG, VA 23185-4006
(804) 481-1804
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002087733
VA
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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