CRYSTAL LYNE CARRADINE

PORTSMOUTH, ZZ
NPI1659016186
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-29
Last Update Date2022-12-15
Business Address
CRYSTAL LYNE CARRADINE DO
620 JOHN PAUL JONES CIR
PORTSMOUTH, ZZ
Phone number: 757-953-5000
Mailing Address
CRYSTAL LYNE CARRADINE DO
6341 KLINES DR
GIRARD, OH 44420-1260
Phone number: 330-509-1608