Most Relevant Information
Provider Data
| NPI Number: | 1003672999 |
| Provider Name: | CRYSTAL FREEMAN LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 176755 |
Most Important Dates
| Enumeration Date: | 02/27/2024 |
| Last Updated: | 02/27/2024 |
Provider Practice Location
3372 SUTTON RD
SHAKER HEIGHTS
OH
441204211
Practice Location Phone/Fax
| Phone: | 2162883718 |
| Fax: |
Provider Mailing Location
3372 SUTTON RD
SHAKER HEIGHTS
OH
441204211
Provider Mailing Phone/Fax
| Phone: | 2162883718 |
| Fax: |