Individual
MR. JERELL L CRUMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
88 ROCKWOOD CT, BELLEVILLE, IL 62221-6833
(314) 456-9875
Mailing address
88 ROCKWOOD CT, BELLEVILLE, IL 62221-6833
(314) 456-9875
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
07/28/2018
Last updated
07/28/2018
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