Individual
CHRYSTAL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3300 N RIDGE RD, SUITE 175, ELLICOTT CITY, MD 21043-3383
(410) 750-3474
Mailing address
221 SAINT HELENA AVE, BALTIMORE, MD 21222-4219
(410) 285-0050
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
T20071779
MD
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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