Individual
CRYSTAL GAYLE BERKERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 WATERS PL APT 213, CULPEPER, VA 22701-3190
(540) 686-0063
Mailing address
201 WATERS PL APT 213, CULPEPER, VA 22701-3190
(540) 686-0063
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002101854
VA
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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