Individual
KRYSTLE SPURLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2715 LILAC ST, LONGVIEW, WA 98632-3526
(360) 575-7676
Mailing address
2715 LILAC ST, LONGVIEW, WA 98632-3526
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
60060890
WA
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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