Individual
CRYSTAL SIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 N WASHINGTON AVE APT 413, SCRANTON, PA 18503-2202
(240) 423-3658
Mailing address
22552 PHILLIPS ST, CLARKSBURG, MD 20871-9499
(240) 423-3658
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN711520
PA
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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