Individual
KRYSTAL EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 WALKER RD, LINDEN, NC 28356-8616
(910) 429-5442
Mailing address
2708 NE 14TH ST APT 5, POMPANO BEACH, FL 33062-3564
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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