Individual
KRYSTALA MONET TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6345 DUCK CREEK DR APT 2447, GARLAND, TX 75043-3665
(214) 476-3130
Mailing address
6345 DUCK CREEK DR APT 2447, GARLAND, TX 75043-3665
(214) 476-3130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
893984
TX
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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