Individual
NICHELLE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 GREEN RIVER ROAD, #105-2106, CORONA, CA 92882-7454
(951) 264-0901
Mailing address
2621 GREEN RIVER ROAD, #105-2106, CORONA, CA 92882-7454
(951) 264-0901
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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