Individual
MISS CRYSTAL RENEE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, ATC, LAT
Contact information
Practice address
1140 COLLEGE DR, BOX 563, PINEVILLE, LA 71359-1000
(318) 487-7792
Mailing address
1140 COLLEGE DR, BOX 563, PINEVILLE, LA 71359-1000
(318) 487-7792
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200163
LA
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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