Individual
CRYSTAL VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
4455 BRASSFIELD DR, APT 203, WINSTON SALEM, NC 27105-2677
(336) 408-1470
Mailing address
4455 BRASSFIELD DR, APT 203, WINSTON SALEM, NC 27105-2677
(336) 408-1470
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
23711702
NC
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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