Individual
KRYSTALE A HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 S PITTSBURGH ST APT 1, CONNELLSVILLE, PA 15425-3512
(724) 802-5595
Mailing address
304 S PITTSBURGH ST APT 1, CONNELLSVILLE, PA 15425-3512
(724) 802-5595
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
43963601
PA
Other
Enumeration date
11/09/2019
Last updated
11/09/2019
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