CRYSTELLE WIONA CANUTO

COLUMBIA, MO
NPI1063076313
Former NameCRYSTELLE WIONA JAMES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2019013218)
Enumeration Date2019-04-23
Last Update Date2023-06-28
Business Address
CRYSTELLE WIONA CANUTO NP-C
1600 E BROADWAY
COLUMBIA, MO 65201-5844
Phone number: 573-815-8000
Mailing Address
CRYSTELLE WIONA CANUTO NP-C
PO BOX 104240
JEFFERSON CITY, MO 65110-4240
Phone number: 573-635-5264