Individual
SANDRA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 SAN JUAN CT NE, RIO RANCHO, NM 87144-5348
(505) 304-6238
Mailing address
1332 SAN JUAN CT NE, RIO RANCHO, NM 87144-5348
(505) 304-6238
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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