Individual
ENQUINETTA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2865 E MAIN ST, HUMBOLDT, TN 38343-3070
(731) 337-8818
Mailing address
2865 E MAIN ST, HUMBOLDT, TN 38343-3070
(731) 784-8405
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00205685
TN
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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