Individual
CRYSTAL WYNETTE BLASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 W ANDREWS AVE, HENDERSON, NC 27536-4207
(888) 398-5259
(888) 398-5259
Mailing address
139 W ANDREWS AVE, HENDERSON, NC 27536-4207
(888) 398-5259
(888) 398-5259
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC5917
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00399432
—
NC
Enumeration date
06/10/2021
Last updated
07/22/2021
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