Individual
MISS KRYSTAL JUNE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17804 BLACK STALLION WAY, GERMANTOWN, MD 20874-4412
(202) 815-2370
Mailing address
17804 BLACK STALLION WAY, GERMANTOWN, MD 20874-4412
(202) 815-2370
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LP55945
MD
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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