Individual
CRYSTAL LAVERNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
272 CALHOUN STATION PKWY STE C2131, GLUCKSTADT, MS 39110-5540
(225) 354-9809
Mailing address
272 CALHOUN STATION PKWY STE C2131, GLUCKSTADT, MS 39110-5540
(225) 354-9809
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
MS
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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