Individual
DAISHA LATRICE CRUDUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 971-8830
Mailing address
1201 S 336TH ST APT P205, FEDERAL WAY, WA 98003-6068
(206) 255-2954
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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