Mary Chrystal Diets
NPI #1225512106 in Big Stone Gap, Virginia
Provider Information
- NPI Number
- 1225512106
- Entity Type
- Individual
- Name
- Mary Chrystal Diets
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Sep 18, 2018
- Last Updated
- Sep 18, 2018
Practice Location
- Address
- 43 CHAMPIONS AVE
- City
- Big Stone Gap
- State
- Virginia
- ZIP Code
- 24219-1105
- Phone
- (276) 523-8300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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