Individual
SHANICA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 N DIVISION, DAVENPORT, IA 52806
(404) 821-7489
Mailing address
1025 14 1/2 ST, ROCK ISLAND, IL 61201-2533
(309) 235-8808
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
IA
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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