Provider Demographics
NPI:1093565988
Name:CRAWFORD, RONESHA JEANNE
Entity Type:Individual
Prefix:
First Name:RONESHA
Middle Name:JEANNE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 CLAY STONE PL
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-4931
Mailing Address - Country:US
Mailing Address - Phone:614-598-4313
Mailing Address - Fax:
Practice Address - Street 1:2106 CLAY STONE PL
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-4931
Practice Address - Country:US
Practice Address - Phone:614-598-4313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care