Individual
CRYSTAL LYNN LA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-4911
Mailing address
4040 TROTWOOD DR, LAKE HAVASU CITY, AZ 86406-8007
(928) 302-0622
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
223670
AZ
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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