Individual
CRYSTAL DAWN CANTERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 RANGER DR, WILLIAMSON, WV 25661-9165
(304) 235-3333
Mailing address
66 RIGHT FORK LAUREL CRK, LENORE, WV 25676-7010
(304) 235-3333
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
60059
WV
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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