Individual
CRYSTAL L MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 PITKIN ST, HIGHLAND PARK, MI 48203-3737
(313) 865-1500
Mailing address
11685 ASBURY PARK, DETROIT, MI 48227-1171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704347609
MI
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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