CRYSTAL LEWIS

POPLAR BLUFF, MO
NPI1851796981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2013038509)
Enumeration Date2014-10-31
Last Update Date2014-10-31
Business Address
-- CRYSTAL LEWIS
1369 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-3313
Phone number: 573-772-7937
Mailing Address
-- CRYSTAL LEWIS
196 COUNTY ROAD 553
POPLAR BLUFF, MO 63901-7863
Phone number: