MR. Jerell L Crumble
NPI #1215415658 in Belleville, Illinois
Provider Information
- NPI Number
- 1215415658
- Entity Type
- Individual
- Name
- MR. Jerell L Crumble
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jul 28, 2018
- Last Updated
- Jul 28, 2018
Practice Location
- Address
- 88 ROCKWOOD CT
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-6833
- Phone
- (314) 456-9875
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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