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Crystal Wink
Student in an Organized Health Care Education/Training Program in Kelso, Washington
NPI 1144963679

Crystal Wink is a Student in an Organized Health Care Education/Training Program based in Longview, WA. Crystal Wink practices in Kelso, WA. The NPI Number for Crystal Wink is 1144963679 and holds a License No. (Washington).

The current practice location address for Crystal Wink is 305 Pacific Ave S Ste 102, Kelso, WA and can be reached out via phone at 360-423-0203 and via fax at 360-577-0187.

Location: 305 Pacific Ave S Ste 102, Kelso, WA, 98632-8140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144963679
Provider Name
Crystal Wink
Credential
Provider Entity Type
Individual
Gender
Female
Address
305 Pacific Ave S Ste 102, Kelso, WA, 98632-8140
Phone Number
360-423-0203
Fax Number
360-577-0187
Provider Enumeration Date
04/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
305 Pacific Ave S Ste 102
City
Kelso
State
Washington
Zip
98626-1638
Phone Number
360-423-0203
Fax Number
360-577-0187
person
Provider Business Mailing Address Details
Address
305 Pacific Ave S Ste 102
City
Kelso
State
Washington
Zip
98626-1638
Phone Number
360-423-0203
Fax Number
360-577-0187
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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