Individual
HOLLY REBECCA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
3227 NORTH ST STE A, NACOGDOCHES, TX 75965-2678
(936) 615-2474
Mailing address
3227 NORTH ST STE A, NACOGDOCHES, TX 75965-2678
(936) 615-2474
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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