Most Relevant Information
Provider Data
| NPI Number: | 1003572603 |
| Provider Name: | CRISSY BARRY DPP LIFESTYLE COACH |
| Entity Type: | Individual |
| Taxonomy Code: | 174H00000X |
| Specialty: | Health Educator |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/09/2021 |
| Last Updated: | 11/09/2021 |
Provider Practice Location
501 W 7TH ST
FREDERICK
MD
217014586
Practice Location Phone/Fax
| Phone: | 2402151458 |
| Fax: |
Provider Mailing Location
1 FREDERICK HEALTH WAY
FREDERICK
MD
217019435
Provider Mailing Phone/Fax
| Phone: | 2402151458 |
| Fax: |