Individual
CRYSTAL WALDRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1631 ESPLANADE AVE, SUITE G, NEW ORLEANS, LA 70116-1870
(318) 356-0835
Mailing address
PO BOX 13280, NEW ORLEANS, LA 70185-3280
(318) 356-0835
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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