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Individual

KRYSTALYNN MERRELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12291 QUEENSBURY AVE, BATON ROUGE, LA 70815-6751
(225) 772-5044
Mailing address
12291 QUEENSBURY AVE, BATON ROUGE, LA 70815-6751
(225) 772-5044

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN159438
LA

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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