Individual
LICHELLE CREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11762 DE PALMA RD STE 1C, CORONA, CA 92883-4010
(951) 406-7140
Mailing address
4231 ADISHIAN WAY UNIT 105, CORONA, CA 92883-4423
(951) 406-7140
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
95146744
CA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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