Individual
MRS. HORTENSE G CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
931 E. LA BREA DR, INGLEWOOD, CA 90301
(310) 419-0616
(310) 673-0753
Mailing address
3910 WELLINGTON RD, LOS ANGELES, CA 90008-1726
(213) 598-3640
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
960000779
CA
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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