Individual
CRYSTAL DIANN SEPULVADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
121 GASLIGHT MEDICAL PKWY, SUITE 102, LUFKIN, TX 75904-3147
(936) 632-2220
(936) 632-2225
Mailing address
121 GASLIGHT MEDICAL PKWY, SUITE 102, LUFKIN, TX 75904-3147
(936) 632-2220
(936) 632-2225
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP129066
TX
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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