Individual
CRYSTAL EVELYN WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
24455 LAKE SHORE BLVD APT 1810, EUCLID, OH 44123-1278
(216) 659-0881
Mailing address
24455 LAKE SHORE BLVD #1810, EUCLID, OH 44123-1273
(216) 659-0881
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
142081-M-IV
OH
Other
Enumeration date
05/30/2012
Last updated
01/11/2016
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