Individual
KRYSTAL SCANDIFFIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 VISTA DEL CERRO DR, LOS LUNAS, NM 87031-5933
(505) 450-2657
Mailing address
3 VISTA DEL CERRO DR, LOS LUNAS, NM 87031-5933
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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