Individual
MRS. CRYSTAL ANN CLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4272 DENEVE RD, CINCINNATUS, NY 13040-2130
(607) 849-3525
Mailing address
4272 DENEVE RD, CINCINNATUS, NY 13040-2130
(607) 849-3525
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
349166
NY
Other
Enumeration date
11/12/2008
Last updated
08/12/2019
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