Individual
KRYSTAL TAMARA SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
52008 KINGS POINTE DR, NEW BALTIMORE, MI 48047-6348
(586) 273-7011
Mailing address
52008 KINGS POINTE DR, NEW BALTIMORE, MI 48047-6348
(586) 273-7011
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112836
MI
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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