Individual
CRYSTAL CAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 19TH STREET SOUTH JT 845, BIRMINGHAM, AL 35249-6810
(205) 934-4696
Mailing address
615 18TH ST S, BIRMINGHAM, AL 35233-1826
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-135706
AL
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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