Individual
MRS. CRYSTAL LYNN STOOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3536 BRAMBLETON AVE, SUITE 9B, ROANOKE, VA 24018-6526
(540) 797-2274
Mailing address
3536 BRAMBLETON AVE, SUITE 9B, ROANOKE, VA 24018-6526
(540) 797-2274
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0019010238
VA
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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