Individual
CRYSTAL SHANEICK GIDDINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1010 PAULA DR, ARLINGTON, TX 76012-3217
(469) 207-9533
Mailing address
1010 PAULA DR, ARLINGTON, TX 76012-3217
(469) 207-9533
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
317119
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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