Individual
CRYSTAL DAWN PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
21012 BOWLIN RD, MADILL, OK 73446-2135
(580) 371-5161
Mailing address
21012 BOWLIN RD, MADILL, OK 73446-2135
(580) 371-5161
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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