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Individual

KRYSTAL HAMPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3829 MARY AVE, BALTIMORE, MD 21206-2419
(443) 469-0291
Mailing address
3829 MARY AVE, BALTIMORE, MD 21206-2419
(443) 469-0291

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
251S00000X
Community/Behavioral Health Agency
Primary
VA

Other

Enumeration date
04/29/2022
Last updated
03/01/2026
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