Individual
CRYSTAL SEALS-JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3323 WOODROW AVE, RICHMOND, VA 23222-2720
(804) 338-8216
Mailing address
3323 WOODROW AVE, RICHMOND, VA 23222-2720
(804) 338-8216
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1025387
VA
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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