Individual
CRYSTAL G WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
70 WILLIAM AVE, PRAIRIE DU CHIEN, WI 53821-8075
(608) 606-0869
Mailing address
1401 E WEBSTER ST, PRAIRIE DU CHIEN, WI 53821-2015
(608) 606-0869
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
242938
WI
163WH0200X
Home Health Registered Nurse
Primary
242938-30
WI
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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