Individual
CRYSTAL ELLEN STOKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1503 ANGLE RD, FORT PIERCE, FL 34947-7016
(772) 201-3226
Mailing address
1503 ENGLE ROAD ROAD, FORT PIERCE, FL 34947
(772) 201-3226
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3339
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3339
STATE LICENSE NUMBER
FL
Enumeration date
06/20/2014
Last updated
06/20/2014
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