Individual
MRS. CHRYSTELLE MARIE GARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20158 NW 35TH AVE, MIAMI GARDENS, FL 33056-1777
(561) 316-4243
Mailing address
20158 NW 35TH AVE, MIAMI GARDENS, FL 33056-1777
(786) 223-8893
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5219276
FL
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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