Individual
CRYSTAL MICHELLE HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1121 NORTHLAKE DR, DESOTO, TX 75115-1524
(318) 280-9819
Mailing address
1121 NORTHLAKE DR, DESOTO, TX 75115-1524
(318) 280-9819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
685554
TX
171M00000X
Case Manager/Care Coordinator
Primary
685554
TX
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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