Individual
CHRYSTAL R MINCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8744 GRASMERE CT, FORT WASHINGTON, MD 20744-7152
(252) 258-0789
Mailing address
8744 GRASMERE CT, FORT WASHINGTON, MD 20744-7152
(252) 258-0789
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-2771895
—
MD
Enumeration date
01/04/2023
Last updated
01/04/2023
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