Individual
CRYSTAL ANN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1421 S ROGERS AVE, BARTLESVILLE, OK 74003-5446
(918) 214-1592
Mailing address
1421 S ROGERS AVE, BARTLESVILLE, OK 74003-5446
(918) 214-1592
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
214090
OK
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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