Individual
CHRYSTAL NICOLE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1785 E SAHARA AVE STE 485, LAS VEGAS, NV 89104-3757
(702) 562-2348
Mailing address
1640 G ST, LAS VEGAS, NV 89106-2710
(702) 716-6506
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
NV
3747A0650X
Attendant Care Provider
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005049778
—
NV
Enumeration date
02/20/2018
Last updated
02/20/2018
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