Individual
KRISTINE WILLISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
721 W 7TH ST, GRAND ISLAND, NE 68801-4221
(308) 382-9169
Mailing address
721 W 7TH ST, GRAND ISLAND, NE 68801-4221
(308) 382-9169
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
829
NE
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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