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Individual

MARIYA CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNPC-AG

Contact information

Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(424) 248-4404
Mailing address
361 ALTA VISTA ST, PLACENTIA, CA 92870-5038
(424) 248-4404

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
95021458
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
95021458
CA

Other

Enumeration date
08/29/2023
Last updated
03/21/2025
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