KRYSTAL VIGIL

ALBUQUERQUE, NM
NPI1316481047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence:   14110220)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: CO  SLP.0002597)
Enumeration Date2016-12-14
Last Update Date2023-03-29
Business Address
KRYSTAL VIGIL CCC- SLP
7216 LEW WALLACE DR NE APT A302
ALBUQUERQUE, NM 87109-6313
Phone number: 505-818-7278
Mailing Address
KRYSTAL VIGIL CCC- SLP
7216 LEW WALLACE DR NE APT A302
ALBUQUERQUE, NM 87109-6313
Phone number: 505-818-7278