Individual
MISS CRYSTAL M MACHATERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5244 SUDER AVE, TOLEDO, OH 43611-1457
(567) 288-1331
Mailing address
5244 SUDER AVE, TOLEDO, OH 43611-1457
(567) 288-1331
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
132674
OH
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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