Individual
CRYSTAL BURCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 OAK LEE DR, RANSON, WV 25438-4871
(304) 728-9041
Mailing address
217 OAK LEE DR, RANSON, WV 25438-4871
(304) 728-9041
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT0010197
WV
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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