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Individual

MRS. CRYSTAL RICHARDS BASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
830 ALTMAN RD, WAUCHULA, FL 33873-9453
(863) 773-3181
Mailing address
115 K D REVELL RD, WAUCHULA, FL 33873-2051
(863) 773-4161

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9234842
FL

Other

Enumeration date
08/15/2018
Last updated
08/15/2018
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