Individual
MRS. CRYSTAL MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23125 TUCKAHOE SPRINGS DR, DENTON, MD 21629-1620
(443) 239-4742
Mailing address
23125 TUCKAHOE SPRINGS DR, DENTON, MD 21629-1620
(443) 239-4742
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A00043781
MD
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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