Individual
CRYSTAL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4099 MCEWEN RD STE 200, FARMERS BRANCH, TX 75244-5050
(954) 309-4927
Mailing address
4099 MCEWEN RD STE 200, FARMERS BRANCH, TX 75244-5050
(682) 559-3078
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
193744
TX
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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