Individual
DONNA RAE CRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
120 NELSON RD, MILFORD, PA 18337-9610
(570) 686-5000
Mailing address
120 NELSON RD, MILFORD, PA 18337-9610
(570) 686-5000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
231195-1
NY
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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