Individual
CRYSTALLEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1000 COMMERCE PARK DR STE 110, WILLIAMSPORT, PA 17701-5475
(877) 907-7970
Mailing address
1000 COMMERCE PARK DR STE 110, WILLIAMSPORT, PA 17701-5475
(877) 907-7970
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN301279
PA
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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