Individual
DR. KRYSTLE CONNIE ETRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
1001 E PLAYA DEL NORTE DR, APT 1405, TEMPE, AZ 85281-2176
(516) 695-7665
Mailing address
1001 E PLAYA DEL NORTE DR, APT 1405, TEMPE, AZ 85281-2176
(516) 695-7665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11-1264
AZ
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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