Individual
CRYSTAL MAY SHULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 E 8TH ST STE 206, ODESSA, TX 79761-4731
(432) 550-1721
Mailing address
1330 E 8TH ST STE 206, ODESSA, TX 79761-4731
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
353757
TX
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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