Individual
MISS CRYSTAL EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2718 MEDGAR EVERS BLVD, JACKSON, MS 39213-7257
(601) 842-9662
Mailing address
2018 RED OAK DR, BRANDON, MS 39042-9327
(601) 842-9662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2646
MS
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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