Individual
CRYSTAL DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117-5282
(386) 547-2039
(386) 274-0518
Mailing address
104 VICTORIA OAKS BLVD, DELAND, FL 32724-7587
(845) 642-8507
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
9578454
FL
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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