Individual
CRYSTAL ELAINE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
826 E RIO GRANDE ST, COLORADO SPRINGS, CO 80903-4559
(719) 722-9796
Mailing address
826 E RIO GRANDE ST, COLORADO SPRINGS, CO 80903-4559
(719) 722-9796
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA.00774208
CO
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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