Individual
CRYSTAL ALEXANDRIA OVERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5614 SILVER HILL RD, DISTRICT HEIGHTS, MD 20747-1145
(301) 568-1112
Mailing address
5614 SILVER HILL RD, DISTRICT HEIGHTS, MD 20747-1145
(301) 568-1112
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
3897565
MD
Other
Enumeration date
05/31/2010
Last updated
05/31/2010
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