Individual
MR. CHARLES TRISTAN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10 SOUTH TRL, WILMINGTON, DE 19810-2923
(484) 401-2120
Mailing address
10 SOUTH TRL, WILMINGTON, DE 19810-2923
(484) 401-2120
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E3331533
—
363A00000X
Physician Assistant
Primary
1191394
—
376K00000X
Nurse's Aide
10079953
PA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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