Individual
MRS. CRYSTAL ARNOLD NIEDERMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
312 OAK ST, CENTRAL POINT, OR 97502-2399
(541) 326-8132
Mailing address
2693 WILLOW WAY, MEDFORD, OR 97501-3856
(541) 326-8132
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
12254
OR
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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