Individual
CRYSTAL ELDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 HALIFAX ST, PETERSBURG, VA 23803-5919
(804) 479-2888
Mailing address
1326 HALIFAX ST, PETERSBURG, VA 23803-5919
(804) 479-2888
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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