Individual
CRYSTAL REEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 W MAIN ST, CLARKSBURG, WV 26301-2843
(304) 842-0200
Mailing address
445 W MAIN ST, CLARKSBURG, WV 26301-2843
(304) 612-7338
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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