Individual
MS. CRYSTAL M AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEO/ONWER
Contact information
Practice address
1640 RIBAUT RD APT 132, PORT ROYAL, SC 29935-1747
(843) 929-8597
Mailing address
1640 RIBAUT RD APT 132, PORT ROYAL, SC 29935-1747
(843) 929-8597
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
20144
SC
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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