Individual
CRYSTAL LOIS QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1895 OLD HOMER ALTO RD, LUFKIN, TX 75901-7923
(936) 707-4100
Mailing address
1895 OLD HOMER ALTO RD, LUFKIN, TX 75901-7923
(936) 707-4100
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
341455
TX
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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