CRYSTAL DIONNE LAKE-AKINNUOYE

STOCKTON, CA
NPI1053871293
Former NameCRYSTAL DIONNE LAKE-ANDERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95013402)
Additional Taxonomies363LC1500X Nurse Practitioner, Community Health
(Licence: CA  95013402)
363LG0600X Nurse Practitioner, Gerontology
(Licence: CA  95013402)
Enumeration Date2019-03-22
Last Update Date2023-09-17
Business Address
CRYSTAL DIONNE LAKE-AKINNUOYE FNP-C
582 E HARDING WAY
STOCKTON, CA 95204-6110
Phone number: 888-530-4415
Mailing Address
CRYSTAL DIONNE LAKE-AKINNUOYE FNP-C
582 E HARDING WAY
STOCKTON, CA 95204-6110
Phone number: 888-530-4415