| NPI | 1225849607 |
|---|---|
| Professional Name | CHARLIE A CRIDER |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |