Individual
DR. CRYSTAL D ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4630 MONTICELLO AVE, T-1161, WILLIAMSBURG, VA 23188-8200
(757) 564-9835
Mailing address
4630 MONTICELLO AVE, T-1161, WILLIAMSBURG, VA 23188-8200
(757) 564-9835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207447
VA
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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