Individual
CRISTYL MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 MISSION ARCH DR, ROSWELL, NM 88201-8307
(575) 624-2583
(575) 623-8949
Mailing address
1 BRAZOS CT, ROSWELL, NM 88201-3362
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1994
NM
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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