Individual
CRYSTAL ALEXIS SYMONE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 STANLEY CT STE N, LAWRENCEVILLE, GA 30046-9061
(678) 835-8795
Mailing address
1142 ALYSUM AVE, LAWRENCEVILLE, GA 30045-2344
(347) 996-0777
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
PHCP011820
GA
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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