Individual
CRYSTAL ANGELA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11006 SPRING FOREST WAY, FORT WASHINGTON, MD 20744-4877
(301) 503-3978
Mailing address
11006 SPRING FOREST WAY, FORT WASHINGTON, MD 20744-4877
(301) 503-3978
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
105214
MD
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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