Individual
CRYSTAL D NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9224 S LAS LOMITAS ST, PHOENIX, AZ 85042-7718
(602) 769-9629
Mailing address
9224 S LAS LOMITAS ST, PHOENIX, AZ 85042-7718
(602) 769-9629
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP036472
AZ
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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