Individual
CRYSTAL LEE FAIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10929 NW 35TH PL, GAINESVILLE, FL 32606-4972
(904) 563-5519
Mailing address
10929 NW 35TH PL, GAINESVILLE, FL 32606-4972
(904) 563-5519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9407657
FL
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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