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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRYSTAL ANGELA WHITE

Active Sole Proprietor

CRYSTAL ANGELA WHITE is a Prosthetic/Orthotic Supplier healthcare provider located in FORT WASHINGTON, Maryland. NPI 1174004535 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · FORT WASHINGTON, MD

Registration Details

NPI Number
1174004535
Provider Type
Individual
Gender
Female
NPI Issued
Aug 23, 2018 (7.99538450366 yrs)
Last Updated
Aug 23, 2018
License
105214 (MD)
Sole Proprietor
Yes

Practice Information

Address
11006 SPRING FOREST WAY
FORT WASHINGTON, MD, 207444877
Browse MD providers · Browse ZIP 20744
Phone
3015033978
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.