Individual
CRYSTAL LEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
533 20TH ST N, FARGO, ND 58102-4139
(701) 630-9288
Mailing address
505 28TH AVE N APT 5, FARGO, ND 58102-1957
(701) 630-9288
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
10/28/2025
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