Individual
CRYSTAL MARIE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
31 MIDDLEBURY AVE, MASSENA, NY 13662-2519
(315) 740-8318
Mailing address
31 MIDDLEBURY AVE, MASSENA, NY 13662-2519
(315) 740-8318
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
779554-01
NY
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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