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Individual

CRYSTAL ANTHONY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21421 WESTVIEW AVE, FERNDALE, MI 48220-2294
(240) 299-6180
Mailing address
21421 WESTVIEW AVE, FERNDALE, MI 48220-2294

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704304681
MI

Other

Enumeration date
08/06/2015
Last updated
08/06/2015
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