Individual
MRS. CRYSTAL CORRINE LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
624 S. 13TH ST., VIRGINIA, MN 55792
(218) 749-2881
(218) 749-3806
Mailing address
PO BOX 1188, 624 S. 13TH ST., VIRGINIA, MN 55792
(218) 749-2881
(218) 749-3806
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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