Individual
ANTONDE TYESE CRAWFORD
Active
Individual
ANTONDE TYESE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAS
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1573
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85-2673525
1952509713
NC
01
—
85-2673525
ALL INSURANCE
SC
Enumeration date
12/15/2020
Last updated
12/15/2020
Update your record
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