Most Relevant Information
Provider Data
| NPI Number: | 1003421140 |
| Provider Name: | CRYSTAL BOROWSKI |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/15/2020 |
| Last Updated: | 09/15/2020 |
Provider Practice Location
195 W MAIN ST
SALEM
WV
264261229
Practice Location Phone/Fax
| Phone: | 3047822190 |
| Fax: |
Provider Mailing Location
PO BOX 188
SALEM
WV
264260188
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |