Individual
CRYSTAL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5410 TRANSPORTATION STE 4, GARFIELD HEIGHTS, OH 44125-5300
(216) 663-6100
Mailing address
13800 BANGOR AVE, GARFIELD HEIGHTS, OH 44125-6005
(216) 663-6100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
137488
OH
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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