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NPI Code Detail

MEDICARE: MISS AKILA CRANE MBA

MEDICARE:  MISS AKILA  CRANE  MBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172A00000XDriverB7667621CA

General Provider Information

NPI Number : 1568999738
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS AKILA CRANE MBA
Provider Business Mailing Address
First Line : PO BOX 52258
Second Line :
City : RIVERSIDE
State : CA
Zip : 92517-3258
Country : US
Telephone Number : 951-907-6820
Fax Number :
Provider Business Practice Location Address
First Line : 4253 KANSAS AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-5151
Country : US
Telephone Number : 951-907-6820
Fax Number : 951-907-6820
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2017
Last Update Date : 05/17/2017

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Directions to “ MISS AKILA CRANE MBA” Practice Location

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