Individual
TRACEY DENISE CRAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTER NURSE
Contact information
Practice address
19813 KELLY RD, HARPER WOODS, MI 48225-1913
(313) 348-3628
Mailing address
19403 GREENVIEW AVE, DETROIT, MI 48219-2123
(313) 348-3628
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/24/2023
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