Individual
MS. CHANELLE MONIQUE CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 477-0071
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5277
SC
363A00000X
Physician Assistant
61218
CA
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
9511
GA
Other
Enumeration date
05/21/2019
Last updated
08/28/2024
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