Individual
MRS. CHRYSTAL RENEE WELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
319 WEST MAIN ST., ELMA, WA 98541
(360) 482-3044
(360) 482-0018
Mailing address
PO BOX 1092, ELMA, WA 98541-1092
(360) 470-2080
(360) 482-0018
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00025248
WA
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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