Individual
MS. CRYSTAL RENEE' FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1785 SAN RICARDO DR APT 6, SAINT LOUIS, MO 63138-1940
(314) 477-0623
Mailing address
1785 SAN RICARDO DR APT 6, SAINT LOUIS, MO 63138-1940
(314) 477-0623
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2003006979
MO
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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