Individual
CRYSTAL J WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 STATE ST, WATERTOWN, NY 13601-2839
(315) 755-1251
(315) 291-6601
Mailing address
21601 COUNTY ROAD 60 LOT 3A, WATERTOWN, NY 13601
(315) 466-4279
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
508442
NY
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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