Individual
MRS. CRYSTAL DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 449-2779
Mailing address
11561 FAIRWAY DR, LAURINBURG, NC 28352-7959
(910) 280-2072
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
226084
NC
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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