Individual
KRYSTAL LONDONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
701 W OAK ST, FRACKVILLE, PA 17931-1672
(570) 874-4100
Mailing address
701 W OAK ST, FRACKVILLE, PA 17931-1672
(570) 874-4100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP029625
PA
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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