Individual
TIARA SADE CRUMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 MALLARD DR S, CHARLOTTE, NC 28227-3110
(704) 449-5420
Mailing address
5401 MALLARD DR S, CHARLOTTE, NC 28227-3110
(704) 449-5420
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NC
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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