Individual
CRYSTAL KAYE ALDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
544 GRAND ST, OSHKOSH, WI 54901-5014
(920) 203-0683
Mailing address
544 GRAND ST, OSHKOSH, WI 54901-5014
(920) 203-0683
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315474
WI
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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