Individual
PENNY L CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5424 57TH AVE CT. W., G8, UNIVERSITY PLACE, WA 98467
(253) 389-6040
Mailing address
PO BOX 98382, LAKEWOOD, WA 98496-8382
(253) 389-6040
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN60391176
WA
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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