Individual
MRS. CRYSTAL ANN CALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 E RAY FINE BLVD, ROLAND, OK 74954-5198
(918) 427-3344
Mailing address
PO BOX 104, ALMA, AR 72921-0104
(479) 806-5460
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1225863061
OK
Other
Enumeration date
09/03/2024
Last updated
09/16/2024
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