Individual
GABRIELLE L CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3862 W 157TH ST, CLEVELAND, OH 44111-5824
(216) 355-0178
Mailing address
3862 W 157TH ST, CLEVELAND, OH 44111-5824
(216) 355-0178
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2733340
—
OH
Enumeration date
06/04/2008
Last updated
06/04/2008
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