Individual
CHRYSTAL MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
100 E FERGUSON ST STE 608, TYLER, TX 75702-5756
(903) 705-0070
Mailing address
1533 FM 417 W, CENTER, TX 75935-6148
(832) 671-0409
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
196968
TX
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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