| Krystal R Mills, | |
|
1509 Brentwood Rd, Bay Shore, NY 11706-3230 | |
| (631) 647-8978 | |
| Not Available |
| Full Name | Krystal R Mills |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1509 Brentwood Rd, Bay Shore, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891014924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 299255 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Krystal R Mills, 1509 Brentwood Rd, Bay Shore, NY 11706-3230 Ph: (631) 647-8978 | Krystal R Mills, 1509 Brentwood Rd, Bay Shore, NY 11706-3230 Ph: (631) 647-8978 |
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