Individual
CRYSTAL PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14212 TALBOT DR, WARREN, MI 48088-3809
(586) 873-3194
Mailing address
15600 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704389140
MI
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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