Individual
MRS. KRYSTAL YVONNE RUNYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 FIR ST, SUITE 210, EAST CHICAGO, IN 46312-3052
(219) 228-4776
(219) 228-4777
Mailing address
4320 FIR ST, SUITE 210, EAST CHICAGO, IN 46312-3052
(219) 228-4776
(219) 228-4777
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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