Individual
CRYSTAL S ASIWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3600
Mailing address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89369
MA
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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