Individual
CRYSTAL WYLENA RAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4271 S LEE ST # 101102, BUFORD, GA 30518-3710
(678) 765-8160
Mailing address
4271 S LEE ST STE 101&102, BUFORD, GA 30518-3710
(678) 765-8160
(678) 765-8163
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN087149
GA
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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