Individual
DEBRA LYNNE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1496 N BEALE RD, MARYSVILLE, CA 95901-6205
(530) 749-8640
Mailing address
1496 N BEALE RD, MARYSVILLE, CA 95901-6205
(530) 749-8640
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
188994
CA
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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