Individual
CRYSTAL A PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
2165 E ROCHELLE AVE # 58, LAS VEGAS, NV 89119
(702) 612-2707
Mailing address
2165 E ROCHELLE AVE # 58, LAS VEGAS, NV 89119
(702) 612-2707
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
7673753
OR
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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