Individual
JUDY CRANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14677 MERRILL AVE, FONTANA, CA 92335-4219
(909) 733-2521
Mailing address
14677 MERRILL AVE, FONTANA, CA 92335-4219
(909) 733-2521
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
165098
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
941735271
TELECARE CORPORATION
CA
05
—
941735271
—
CA
Enumeration date
02/21/2023
Last updated
02/21/2023
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