Individual
CHERYLL DENISE CRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
715 EASTLAKE CLUB DR, OLDSMAR, FL 34677-2470
(727) 784-1649
(727) 781-8285
Mailing address
715 EASTLAKE CLUB DR, OLDSMAR, FL 34677-2470
(727) 784-1649
(727) 781-8285
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5158790
FL
Other
Enumeration date
03/20/2006
Last updated
01/26/2017
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