Individual
CRYSTAL W BREEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 S COX ST STE D, ASHEBORO, NC 27203-5791
(336) 538-3794
Mailing address
350 S COX ST STE D, ASHEBORO, NC 27203-5791
(363) 538-3794
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC5053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418139
—
NC
05
—
6601438
—
NC
Enumeration date
12/27/2006
Last updated
10/30/2024
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