CRYSTAL WHITE

CHARLESTON, WV
NPI1427704188
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: WV  111952)
Enumeration Date2022-02-22
Last Update Date2022-02-22
Business Address
CRYSTAL WHITE FNP
3701 MACCORKLE AVE SE
CHARLESTON, WV 25304-1525
Phone number: 304-720-2345
Mailing Address
CRYSTAL WHITE FNP
3511 VIRGINIA AVE SE
CHARLESTON, WV 25304-1405
Phone number: 304-415-3711
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