Individual
KRYSTAL SHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
911 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
Mailing address
911 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
72781
NC
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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