Individual
LIZEL ANNE BERNABE CRISOSTOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N WOLFE ST, BALTIMORE, MD 21205-2110
(410) 955-4766
Mailing address
808 TIPTON RD, MIDDLE RIVER, MD 21220-3780
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R215493
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R215493
MD
Other
Enumeration date
10/06/2022
Last updated
07/29/2025
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