Individual
MRS. NICOLE BRIANNE CHRYST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1017 4TH AVE E, OLYMPIA, WA 98506-4016
(360) 539-7726
(360) 539-7729
Mailing address
PO BOX 5728, LACEY, WA 98509-5728
(360) 539-7726
(360) 539-7729
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022961
WA
Other
Enumeration date
01/09/2007
Last updated
03/02/2021
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