Individual
MRS. CRYSTAL LYNN TACKABERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
20025 LUNN RD, STRONGSVILLE, OH 44149-4925
(440) 572-7069
(440) 572-7107
Mailing address
20025 LUNN RD, STRONGSVILLE, OH 44149-4925
(440) 572-7069
(440) 572-7107
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN283947
OH
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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