Kristal Cure
Licensed Practical Nurse in Ellenwood, GA. Individual provider (NPI-1).
NPI number1982006169
StatusActive
Last updated in NPPESSep 19, 2014
Details
- NPI
- 1982006169
- Entity type
- Individual (NPI-1)
- Name
- Kristal Cure
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2014
- Last updated
- Sep 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN075798 | GA | Yes |
Practice location
4057 Madiosn CourtEllenwood, GA 30294
Phone 678-684-8420
Mailing address
4057 Madiosn CourtEllenwood, GA 30294
Phone 678-684-8420
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