Individual
CRYSTAL MARIE AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1417 HIGH PLAINS DR, MESQUITE, TX 75149-1747
(469) 445-5867
Mailing address
1417 HIGH PLAINS DR, MESQUITE, TX 75149-1747
(469) 445-5867
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
191087
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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