Individual
MR. MARK CRANDLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
4009 COUNTRY MEADOWS DR, MIDDLEBURG, FL 32068-4904
(904) 437-6875
Mailing address
4009 COUNTRY MEADOWS DR, MIDDLEBURG, FL 32068-4904
(904) 437-6875
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA218713
FL
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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