Individual
MRS. ALIDA CRAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
610 MEADOW LN, LOGANSPORT, IN 46947-1327
(765) 438-7102
Mailing address
610 MEADOW LN, LOGANSPORT, IN 46947-1327
(765) 438-7102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31001293A
IN
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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