CRYSTAL LYNN LA ROSE

WHITERIVER, AZ
NPI1033961180
Former NameCRYSTAL LYNN CLYDE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: AZ  223670)
Enumeration Date2024-04-02
Last Update Date2024-04-02
Business Address
CRYSTAL LYNN LA ROSE CNM
PO BOX 860
WHITERIVER, AZ 85941-0860
Phone number: 928-338-4911
Mailing Address
CRYSTAL LYNN LA ROSE CNM
4040 TROTWOOD DR
LAKE HAVASU CITY, AZ 86406-8007
Phone number: 928-302-0622