Individual
CRYSTAL JOY CONERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16903 RED OAK DR STE 208, HOUSTON, TX 77090-3929
(601) 441-2329
Mailing address
707 E ST, COLUMBIA, MS 39429-3573
(601) 441-2329
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
905104
MS
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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