Individual
MRS. CRYSTAL NICOLE WASILAUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
21826 ENGLESIDE PL, BROADLANDS, VA 20148-4542
(571) 208-7973
Mailing address
21826 ENGLESIDE PL, BROADLANDS, VA 20148-4542
(571) 208-7973
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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