Individual
CRYSTAL RAE BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2168 N CHURCH ST, DECATUR, IL 62526-4316
(217) 871-3625
Mailing address
2168 N CHURCH ST, DECATUR, IL 62526-4316
(217) 871-3625
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043084970
IL
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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