Individual
DR. BARBARA CRYSTAL VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(505) 331-3293
Mailing address
PO BOX 501, TEXICO, NM 88135-0501
(505) 331-3293
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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