Individual
KRYSTAL LEE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 E BROADWAY AVE STE 110, BISMARCK, ND 58501-4448
(701) 323-8922
Mailing address
PO BOX 5501, BISMARCK, ND 58506-5501
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1240
ND
Other
Enumeration date
09/18/2012
Last updated
03/01/2023
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