Individual
CRYSTAL MICHELE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 MARION RD, VENUS, TX 76084-4836
(215) 669-1540
Mailing address
802 MARION RD, VENUS, TX 76084-4836
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
805960
TX
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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