Individual
AXELLE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2075 NAVARRO AVE, PASADENA, CA 91103-1555
(626) 399-1381
Mailing address
2075 NAVARRO AVE, PASADENA, CA 91103-1555
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
180716
CA
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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