Individual
CRYSTAL RENE AMBERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
14000 JERICHO PARK RD, BOWIE, MD 20715-3319
(580) 919-6424
Mailing address
2319 MEADOWS CT, ODENTON, MD 21113-4078
(580) 919-6424
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001485
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
MD
Other
Enumeration date
01/25/2021
Last updated
03/29/2024
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