Individual
MRS. EBIDOERE STELLA CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIGH SCHOOL
Contact information
Practice address
300 ILENE ST, MARTINEZ, CA 94553-2631
(925) 655-0560
Mailing address
2548 BRAZIL DR, ANTIOCH, CA 94509-6809
(925) 446-9490
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
05/21/2025
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