Individual
WILLIE J. CRAWFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1145 STURGIS RD, TWENTYNINE PALMS, CA 92278
(760) 830-2621
Mailing address
1145 STURGIS RD, TWENTYNINE PALMS, CA 92278
(760) 830-2621
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
08/07/2013
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