Individual
KRYSTAL STREAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
775 S 6TH ST, INDIANA, PA 15701-3703
(724) 840-1320
Mailing address
775 S 6TH ST, INDIANA, PA 15701-3703
(724) 840-1320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN705268
PA
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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