Individual
MRS. CRYSTAL ANN GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 SALISBURY AVE, BLASDELL, NY 14219-1627
(716) 824-1516
Mailing address
1 SALISBURY AVE, BLASDELL, NY 14219-1627
(716) 824-1516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
592060-1
NY
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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