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Individual

CRYSTAL JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18141 WESTLAND AVE, SOUTHFIELD, MI 48075-4120
(313) 213-5355
Mailing address
18141 WESTLAND AVE, SOUTHFIELD, MI 48075-4120
(313) 213-5355

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115418
MI

Other

Enumeration date
01/29/2016
Last updated
01/29/2016
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