SearchOhio164W00000X

Crystal Waller, LPN

NPI 1619273158 · on the registry since 2011 · sole proprietor

Practice

Address
8014 Cory Ave
Cleveland, OH 44103
Phone
(216) 862-2210

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio