Individual
CRYSTAL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5754 SCHUTTA RD, SHOREVIEW, MN 55126-4949
(612) 743-4211
Mailing address
5754 SCHUTTA RD, SHOREVIEW, MN 55126-4949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
212398-5
MN
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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