Individual
CRYSTAL DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
928 CAYUGA ST, HANNIBAL, NY 13074-3138
(315) 564-7916
Mailing address
928 CAYUGA ST, HANNIBAL, NY 13074-3138
(315) 564-7916
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
506005
NY
163WS0200X
School Registered Nurse
Primary
506005
NY
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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