Individual
MARY KATHLEEN CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
78 TYBEN CT, WALLA WALLA, WA 99362-5018
(509) 301-5500
Mailing address
78 TYBEN CT, WALLA WALLA, WA 99362-5018
(509) 301-5500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00104336
WA
163WA2000X
Administrator Registered Nurse
RN00104336
WA
171400000X
Health & Wellness Coach
RN00104336
WA
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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