Individual
CHARYL LORRAINE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3940 HOME AVE, SAN DIEGO, CA 92105-5952
(619) 262-8000
(619) 266-7405
Mailing address
120 WILLOWSIDE TER, ALPINE, CA 91901-1600
(619) 262-8000
(619) 266-7405
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN162167
CA
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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