Most Relevant Information
Provider Data
NPI Number: | 1003353731 |
Provider Name: | ISAAC CRAWFORD |
Entity Type: | Individual |
Taxonomy Code: | 171W00000X |
Specialty: | Contractor |
License Number: |
Most Important Dates
Enumeration Date: | 01/19/2017 |
Last Updated: | 01/19/2017 |
Provider Practice Location
1475 E 71ST ST
CLEVELAND
OH
441032773
Practice Location Phone/Fax
Phone: | 9379417573 |
Fax: |
Provider Mailing Location
1475 E 71ST ST
CLEVELAND
OH
441032773
Provider Mailing Phone/Fax
Phone: | 9379417573 |
Fax: |