Individual
KRYSTLE CALAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3402 DANIEL MCCALL DR APT 22, LUFKIN, TX 75904-7191
(910) 495-5663
Mailing address
3402 DANIEL MCCALL DR APT 22, LUFKIN, TX 75904-7191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1004068
TX
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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