CRYSTAL V LUCAS

ELLENWOOD, GA
NPI1558904250
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN063015)
Enumeration Date2019-10-25
Last Update Date2019-10-25
Business Address
CRYSTAL V LUCAS
161 KINGSWOOD DR
ELLENWOOD, GA 30294-3159
Phone number: 404-989-7642
Mailing Address
CRYSTAL V LUCAS
161 KINGSWOOD DR
ELLENWOOD, GA 30294-3159
Phone number: 404-989-7642
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