Individual
CYNTHIA ANN CRANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., C.N.
Contact information
Practice address
5 1/2 S MAIN ST, CLARKSTON, MI 48346-5302
(248) 766-2210
(248) 922-7081
Mailing address
5 1/2 S MAIN ST, CLARKSTON, MI 48346-5302
(248) 766-2210
(248) 922-7081
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4704185428
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704185428
RN LICENSE
MI
Enumeration date
03/26/2010
Last updated
03/26/2010
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