Individual provider · Type 1 NPI
Crystallene Celestial Medlin, LMT
Specialist · Longview, WA
NPI number
1962760165
Active
Practice location
1146 Commerce Ave
Longview, WA 98632-3025
Mailing address
138 E Stock Rd
Kelso, WA 98626-9763
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA60278590 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4 other providers at this address
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About NPI 1962760165
Crystallene Celestial Medlin, LMT's National Provider Identifier is 1962760165, issued on Apr 25, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Longview, WA. The record was last updated on Apr 25, 2012.