Individual
CRYSTAL LYNN NORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 AL JOSEPH LN, THIBODAUX, LA 70301-7453
(985) 414-2785
Mailing address
163 AL JOSEPH LN, THIBODAUX, LA 70301-7453
(985) 414-2785
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN121376
LA
Other
Enumeration date
04/09/2008
Last updated
04/24/2008
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