Individual
KRYSTAL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8693 GREENVIEW AVE, DETROIT, MI 48228-3149
(313) 669-5124
Mailing address
8693 GREENVIEW AVE, DETROIT, MI 48228-3149
(313) 669-5124
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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