Individual
KRYSTAL PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
402 EBENEZER RD, AMHERST, VA 24521-4025
(434) 214-8107
Mailing address
402 EBENEZER RD, AMHERST, VA 24521-4025
(434) 214-8107
(346) 547-4130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0002075055
VA
172A00000X
Driver
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
03/14/2024
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