Individual
CRYSTAL PULIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
4301 WILSON ST, MATERNAL CHILD UNIT, FORT SILL, OK 73503-4472
(580) 558-2255
Mailing address
4301 WILSON ST, MATERNAL CHILD UNIT, FORT SILL, OK 73503-4472
(580) 558-2255
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
207006
TX
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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