Most Relevant Information
Provider Data
| NPI Number: | 1003635244 |
| Provider Name: | CRYSTAL HUTTO CBC |
| Entity Type: | Individual |
| Taxonomy Code: | 174N00000X |
| Specialty: | Lactation Consultant, Non-RN |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/04/2024 |
| Last Updated: | 10/04/2024 |
Provider Practice Location
307 W EUGENE AVE
FOWLER
CO
810391041
Practice Location Phone/Fax
| Phone: | 8058355779 |
| Fax: |
Provider Mailing Location
307 W EUGENE AVE
FOWLER
CO
810391041
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |