Krystal Lea Maddox
Krystal Lea Maddox is a Home Health Aide in Medford, Oregon. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1301 W Stewart Ave Unit 1Medford, OR 97501-4705
Phone: (541) 261-8061
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Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X |
|---|
Record details
| NPI number | 1134909179 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 5, 2023 |
| Last updated in NPPES | October 5, 2023 |
| Certification date | October 5, 2023 |
| Mailing address | 747 Ne 12th St, Grants Pass, OR 97526-1659 |
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