Individual
CRYSTAL STEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 EXCHANGE PL, SUITE 116, LAFAYETTE, LA 70503-2510
(337) 291-1137
(337) 704-2278
Mailing address
114 EXCHANGE PL, SUITE 116, LAFAYETTE, LA 70503-2510
(337) 291-1137
(337) 704-2278
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20110110
LA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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