Individual
CRYSTAL L MAY PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 5TH ST NW STE 2A, BEMIDJI, MN 56601-2932
(218) 444-2718
(651) 383-4937
Mailing address
15855 MAIN AVE, RED LAKE, MN 56671
(218) 444-2718
(651) 383-4937
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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