Individual
MS. MONIQUE ROXANNE CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
301 N PRAIRIE AVE STE 210, INGLEWOOD, CA 90301-4509
(310) 677-8545
Mailing address
8705 S 6TH AVE, INGLEWOOD, CA 90305-2411
(323) 449-0177
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 14143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA14143
CA. P.A LICENSE
CA
Enumeration date
01/23/2007
Last updated
07/08/2007
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