Individual
MR. GOLDEN C CREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1812 W PARK AVE, REDLANDS, CA 92373-8014
(909) 793-0535
Mailing address
1812 W PARK AVE, REDLANDS, CA 92373-8014
(909) 793-0535
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
120027223
CA
Other
Enumeration date
06/14/2012
Last updated
08/06/2012
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