Individual
MRS. CRYSTAL LEE FELTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
931 HYSELL ST, MIDDLEPORT, OH 45760-1274
(740) 466-2496
Mailing address
931 HYSELL ST, MIDDLEPORT, OH 45760-1274
(740) 466-2496
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-112940
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2481729
—
OH
Enumeration date
06/22/2007
Last updated
12/05/2007
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