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Individual

CRYSTAL DIANE MOHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
514 PENNSYLVANIA AVE APT A, SALEM, VA 24153-5307
(765) 228-6350

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136000862
VA

Other

Enumeration date
11/19/2025
Last updated
11/19/2025
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