Individual
CRYSTAL D MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
417 S 6TH ST, BOISE, ID 83702-7632
(208) 577-4460
Mailing address
4320 W MERIWETHER DR, BOISE, ID 83705-5034
(208) 317-6666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N45441
ID
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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