Individual
CHRYSTAL STELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IOMT
Contact information
Practice address
317 SMITH REED RD, LAFAYETTE, LA 70507-2605
(888) 988-9848
Mailing address
PO BOX 187, CARENCRO, LA 70520-0187
(888) 988-9848
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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