Individual
MRS. KRYSTAL ANN BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2219 YOUNGMAN AVE APT 2, SAINT PAUL, MN 55116-3016
(763) 204-1544
Mailing address
736 ROUTE 4, STE. 103, SINAJANA, GUAM 96910
(671) 649-7232
(671) 649-7233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-83
GU
Other
Enumeration date
11/19/2011
Last updated
10/23/2023
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