Individual
ETHAN ALLYN CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 PARK ST, ORONO, ME 04473-4409
(603) 686-1793
Mailing address
15 PARK ST, ORONO, ME 04473-4409
(603) 686-1793
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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