NPI 1629615000
Tyrone L Crew
Practice location
- Address
- 4330 10th Ave S APT 305, Fargo, ND 58103-7088
- Phone
- (701) 730-9365
Authorised official
- Name
- Tyrone Crew
- Title
- Owner
- Phone
- (701) 730-9365
Registered specialties
Religious Nonmedical Practitioner
Primary
Registry record
- NPI
- 1629615000
- Entity type
- Organization
- NPI issued
- 5 Dec 2019
- Record last updated
- 4 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.