Individual
STEPHANIE CRANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
187A GRISAFFE LANE, BELLE ROSE, BELLE ROSE, LA 70341
(225) 253-0788
Mailing address
187A GRISAFFE LANE, BELLE ROSE, BELLE ROSE, LA 70341
(225) 253-0788
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
008204235
LA
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
About Stedi
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