Individual
CRYSTAL JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6306 FOXHILL RD, PHILADELPHIA, PA 19120-1018
(267) 258-7392
Mailing address
6306 FOXHILL RD, PHILADELPHIA, PA 19120-1018
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN296247
PA
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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