Individual
KITASHA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10234 CEDARHURST DR, SAINT LOUIS, MO 63136-5616
(618) 767-0178
Mailing address
10234 CEDARHURST DR, SAINT LOUIS, MO 63136-5616
(618) 767-0178
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
S137075056
MO
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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