Individual
MS. CRYSTOL GAYLIA VASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
201 E SAMPLE RD, DEERFIELD BEACH, FL 33064-3502
(954) 786-2380
Mailing address
3864 LANCEWOOD DR, CORAL SPRINGS, FL 33065-6004
(954) 770-0834
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11029697
FL
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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