CRYSTAL IDSTEIN

BIRMINGHAM, AL
NPI1811380231
Former NameCRYSTAL VAHRENHOLD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AL  TA.1793)
Enumeration Date2015-03-10
Last Update Date2016-08-16
Business Address
-- CRYSTAL IDSTEIN PA-C
619 19TH ST S JT 804
BIRMINGHAM, AL 35249-6810
Phone number: 205-934-4696
Mailing Address
-- CRYSTAL IDSTEIN PA-C
619 19TH ST S JT804
BIRMINGHAM, AL 35226-5912
Phone number: 314-915-5194
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