Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 22HI00794500 | NJ |
NPI | 1033879283 |
---|---|
Provider Name | Mrs. Crystal Lynne Erney |
First Address | Cincinnati, OH 45219-2504 |
Second Address | Cincinnati, OH 45219-2504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2021 |
Last Update Date | 28/12/2021 |