Individual
CRYSTAL JANICE KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5076 HORN LAKE RD, MEMPHIS, TN 38109-8900
(662) 590-0657
Mailing address
5076 HORN LAKE RD, MEMPHIS, TN 38109-8900
(662) 590-0657
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
78610
TN
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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