| NPI | 1245082015 |
|---|---|
| Former Name | CRYSTAL LEE WAXLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2025-10-28 |