Individual
CRYSTAL FIXICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 D STREET, APT #4, OLUSTEE, OK 73560
(580) 318-2269
Mailing address
800 D STREET 73560, APT #4, OLUSTEE, OK 73560
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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