Individual
CRYSTAL A PERNASILICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, PA-C
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(716) 984-1096
Mailing address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(716) 984-1096
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004836
MD
Other
Enumeration date
08/16/2012
Last updated
09/13/2012
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