Krystle Elecia Fowlin, LPN

NPI #1932670015 in Baldwin, New York

Provider Information

NPI Number
1932670015
Entity Type
Individual
Name
Krystle Elecia Fowlin, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Dec 16, 2018
Last Updated
Dec 16, 2018

Practice Location

Address
2808 TULIP AVE
ZIP Code
11510-4237
Phone
(516) 325-6529

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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