Individual
ANGEL J CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(800) 879-4471
Mailing address
1657 HURSTBOROUGH MANOR DR, HAZELWOOD, MO 63042-1522
(314) 399-1612
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2018014393
MO
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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