Individual
CRYSTAL HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-4400
Mailing address
4352 NW 29TH ST APT 1, LAUDERDALE LAKES, FL 33313-1925
(954) 496-4902
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
9435951
FL
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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