CRYSTAL CHANEL DILLARD

CORAM, NY
NPI1649536103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  308880-1)
Enumeration Date2012-04-09
Last Update Date2012-04-09
Business Address
Ms. CRYSTAL CHANEL DILLARD lpn
13 POLK CT
CORAM, NY 11727-3915
Phone number: 631-732-0787
Mailing Address
Ms. CRYSTAL CHANEL DILLARD lpn
13 POLK CT
CORAM, NY 11727-3915
Phone number: 631-732-0787
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