Individual
CRYSTAL KILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
480 AMADOR LN, CHINO VALLEY, AZ 86323-5159
(928) 713-0405
Mailing address
480 AMADOR LN, CHINO VALLEY, AZ 86323-5159
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN199047
AZ
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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