Individual
CRYSTAL DAWN GRUNEWALD DISPAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5815 ROYAL RDG, SAN ANTONIO, TX 78239-1404
(210) 386-1314
Mailing address
5815 ROYAL RDG, SAN ANTONIO, TX 78239-1404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT103989
TX
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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