Individual
CRYSTAL BURR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1773 DRYDEN RD, WALTON, NY 13856
(607) 865-9457
Mailing address
1773 DRYDEN RD, WALTON, NY 13856
(607) 865-9457
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292928
NY
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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