Individual
ROESHUNYA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1696 E OUTER DR, DETROIT, MI 48234-1349
(313) 587-7117
Mailing address
1696 E OUTER DR, DETROIT, MI 48234-1349
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703101818
MI
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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