Individual
CRYSTAL R CHAFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, ATP
Taxonomy
Speciality
Code
Description
License number
State
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
ATP91146
—
247200000X
Other Technician
Primary
ATP91146
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ATP91146
ATP
—
Enumeration date
12/09/2021
Last updated
12/09/2021
Update your record
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