Individual
QUINNITA CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3413 NOTTINGHAM PL, YUKON, OK 73099-3457
(405) 388-1747
Mailing address
3413 NOTTINGHAM PL, YUKON, OK 73099-3457
(405) 388-1747
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
20
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
446461250
—
OK
Enumeration date
01/31/2014
Last updated
01/31/2014
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