Individual
DEONNA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7111 N 75TH AVE, GLENDALE, AZ 85303-2514
(928) 233-1716
Mailing address
7111 N 75TH AVE, GLENDALE, AZ 85303-2514
(928) 233-1716
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
251074
AZ
Other
Enumeration date
10/11/2021
Last updated
12/27/2021
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