Individual provider · NPI-1

Rena Crawford

Homemaker · Charlotte, NC

NPI number1497579858
StatusActive
Last updated in NPPESNov 12, 2024

Details

NPI
1497579858
Entity type
Individual (NPI-1)
Name
Rena Crawford
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 12, 2024
Certification date
Nov 12, 2024
Last updated
Nov 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

6006 Tuckaseegee Rd
Charlotte, NC 28208-2450

Phone 704-493-2737

Mailing address

6006 Tuckaseegee Rd
Charlotte, NC 28208-2450

Phone 704-493-2737

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