Inspired Silver Paramedic Pave Heart Toggle Necklace Clear Crystal Rhinestones Great Gift for Yourself or and Other Special someone. Matching Bracelets and Earings Also Available Approximately 18 Inches in Diameter Silver Plated Classic Link Chain and Pendant Toggle Necklace Heart Charm Measures 1" tall x 1" Wide Packaging: Black Velvet Pouch Made in the United States of America