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Individual

CRYSTAL HOLT HARGRAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2300 OPITZ BLVD STE G-209, WOODBRIDGE, VA 22191-3311
(703) 523-0611
(703) 670-2089
Mailing address
2300 OPITZ BLVD STE G-209, WOODBRIDGE, VA 22191-3311
(703) 523-0611
(703) 670-2089

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024179481
VA

Other

Enumeration date
07/27/2020
Last updated
09/24/2020
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