Individual
CRYSTAL JEAN WEESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22731 STEVENSON RD, RIDGELY, MD 21660-1311
(410) 829-1001
(410) 634-2506
Mailing address
22731 STEVENSON RD, RIDGELY, MD 21660-1311
(410) 829-1001
(410) 634-2506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R190758
MD
163W00000X
Registered Nurse
RN1019895
DC
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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