Individual
CRYSTAL DOMINIQUE MASSENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGENCY DIRECTOR
Contact information
Practice address
4819 EMPEROR BLVD UNIT 102, DURHAM, NC 27703-0089
(919) 727-0748
Mailing address
4819 EMPEROR BLVD UNIT 102, DURHAM, NC 27703-0089
(919) 727-0748
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC6520
NC
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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