Provider Demographics
NPI:1114495561
Name:STRICKLAND, CRYSTAL PATRICE
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:PATRICE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 BENNING RD NE APT G44
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-8517
Mailing Address - Country:US
Mailing Address - Phone:202-840-4022
Mailing Address - Fax:
Practice Address - Street 1:2503 14TH ST NE APT 1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1953
Practice Address - Country:US
Practice Address - Phone:202-832-1093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-04
Last Update Date:2018-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant