Individual
LAURIE CRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
597 CENTER AVE STE 200A, MARTINEZ, CA 94553-4640
(925) 313-6740
(925) 313-6465
Mailing address
597 CENTER AVE STE 200A, MARTINEZ, CA 94553-4640
(925) 313-6740
(925) 313-6465
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
414842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
414842
RN LICENSE
CA
Enumeration date
04/27/2015
Last updated
04/27/2015
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