Individual
MRS. CRYSTAL LYNN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4851 RICH RD, MORRISVILLE, NY 13408
(315) 893-7040
Mailing address
3305 STATE RT 46, BOUCKVILLE, NY 13310
(315) 893-7040
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316083-1
NY
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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