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Individual

MRS. CRYSTAL MARIAN WATERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
HOWARD UNIVERSITY STUDENT HEALTH CTR, 2139 GEORGIA AVE. NW, WASHINGTON, DC 20059-0001
(202) 806-7416
Mailing address
2930 10TH ST NE, WASHINGTON, DC 20017-3406
(202) 526-9028

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN65402
DC

Other

Enumeration date
02/07/2009
Last updated
02/07/2009
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