MARY CHRYSTAL DIETS

BIG STONE GAP, VA
NPI1225512106
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-09-18
Last Update Date2018-09-18
Business Address
MARY CHRYSTAL DIETS
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219-1105
Phone number: 276-523-8300
Mailing Address
MARY CHRYSTAL DIETS
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600