Individual
KATHRYN CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7054 DIAMOND HEAD RD, JACKSONVILLE, FL 32216-9401
(904) 434-4839
Mailing address
7054 DIAMOND HEAD RD, JACKSONVILLE, FL 32216-9401
(904) 434-4839
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA35007
FL
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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