Individual
MS. CRYSTAL STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
2626 E 46TH ST, SUITE J, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
(317) 472-9683
Mailing address
3809 N KITLEY AVE, INDIANAPOLIS, IN 46226-4927
(317) 545-9120
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27050766A
IN
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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