Individual
TINA I CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2079 EDGEWATER DR, PEKIN, IL 61554-7833
(309) 382-2006
(309) 382-2007
Mailing address
2079 EDGEWATER DR, PEKIN, IL 61554-7833
(309) 382-2006
(309) 382-2007
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
041.320339
IL
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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