NPI 1629966767

Nichelle Crawford

Practitioner Prosthetic/Orthotic Supplier Corona, CA

Practice location

Address: 2621 Green River Road #105-2106, Corona, CA 92882-7454
Phone: (951) 264-0901

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1629966767
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2025
Record last updated: 26 Jun 2025

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.