Individual
CRYSTAL AIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(810) 599-5014
Mailing address
1467 ASHWOOD LN, HOWELL, MI 48843-8385
(810) 599-5014
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704262080
MI
Other
Enumeration date
03/11/2022
Last updated
03/14/2022
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