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Individual

CRYSTAL THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 W LAFAYETTE AVE APT 2, BALTIMORE, MD 21217-2995
(410) 207-7087
Mailing address
6721 GLENKIRK RD, BALTIMORE, MD 21239-1411
(410) 207-7087

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
MD

Other

Enumeration date
01/20/2022
Last updated
01/20/2022
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