Individual
MISS CRYSTAL MICHELLE RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
107 GREENKILL AVE, KINGSTON, NY 12401-5441
(184) 533-9668
Mailing address
107 GREENKILL AVE, KINGSTON, NY 12401-5441
(184) 533-9668
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2738668-1
NY
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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