Individual
VANITY CRUMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1864 SILVER STAR PL, RUSKIN, FL 33570-5756
(863) 232-8902
Mailing address
1864 SILVER STAR PL, RUSKIN, FL 33570-5756
(863) 232-8902
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
6907101
FL
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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