Individual
CRYSTAL MARIE MAKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8603 E EASTRIDGE RD, SUITE A, PRESCOTT VALLEY, AZ 86314-8562
(928) 777-3280
(928) 717-1660
Mailing address
20639 E CEDAR CANYON DR, MAYER, AZ 86333-2448
(928) 710-9769
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
7923664
AZ
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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