Individual
CRYSTAL WALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 LIBERTY ST NE, SALEM, OR 97355
(503) 588-6633
Mailing address
2325 FULLER LANE, LEBANON, OR 97355
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20906
OR
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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