Individual
KRYSTAL ABYGAYLE SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 WATERS EDGE LN, COVINGTON, GA 30014-5035
(516) 492-1786
Mailing address
30 WATERS EDGE LN, COVINGTON, GA 30014-5035
(516) 492-1786
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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