CRYSTAL CHANNEL
Nurse's Aide
Active
Individual
NPI: 1114527629
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse's Aide | 376K00000X | Yes | NC10075817 (WA) |
Frequently Asked Questions
NPI 1114527629 is the National Provider Identifier for CRYSTAL CHANNEL, a Nurse's Aide provider located in Longview, WA. This NPI was enumerated on October 26, 2020.
CRYSTAL CHANNEL practices at 720 14TH AVE, Longview, WA 98632.
Quick Facts
- NPI
- 1114527629
- Type
- Individual
- Enumerated
- Oct 26, 2020
- Last Updated
- Oct 26, 2020
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