Individual
KRISTEN LYN MOSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA, LAT, ATC
Contact information
Practice address
2500 WARREN CARROLL DR BOX 8502, RALEIGH, NC 27695-0001
(919) 513-7801
(919) 513-0728
Mailing address
2500 WARREN CARROLL DR BOX 8502, RALEIGH, NC 27695-0001
(919) 513-7801
(919) 513-0728
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
2307
NC
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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