Individual
KRYSTAL SASHA GAYE WITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
600 NEWARK AVE, ELIZABETH, NJ 07208-3539
(908) 353-7443
Mailing address
600 NEWARK AVE, ELIZABETH, NJ 07208-3539
(908) 353-7443
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP49523200
NJ
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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