Individual
CRYSTAL MICHELLE CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5817 79TH ST, LUBBOCK, TX 79424-1723
(806) 773-6175
Mailing address
5817 79TH ST, LUBBOCK, TX 79424-1723
(806) 773-6175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
750661
TX
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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