Individual
CHRYSTAL MACHELLE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4420 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 425-0402
(405) 425-0402
Mailing address
4420 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 425-0402
(405) 425-0402
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0052052
OK
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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