Individual
MONIQUE AURTRELL CROWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6503 MARSOL RD APT 542, CLEVELAND, OH 44124-3506
(205) 451-6305
Mailing address
6503 MARSOL RD APT 542, CLEVELAND, OH 44124-3506
(205) 451-6305
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
HSH3607
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0409568
—
OH
Enumeration date
10/14/2020
Last updated
10/14/2020
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