CRYSTAL LOOSE

WILLIAMSPORT, PA
NPI1821406547
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: PA  MA056962)
Enumeration Date2014-07-25
Last Update Date2021-05-24
Business Address
CRYSTAL LOOSE
1705 WARREN AVE SUITE 101103
WILLIAMSPORT, PA 17701-2647
Phone number: 570-321-2020
Mailing Address
CRYSTAL LOOSE
1201 GRAMPIAN BLVD SUITE 101103
WILLIAMSPORT, PA 17701-1900
Phone number:
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