CRYSTAL FAME

SANTA ANA, CA
NPI1588246284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A22816)
Enumeration Date2021-04-22
Last Update Date2024-09-13
Business Address
CRYSTAL FAME DO
2212 E 4TH ST
SANTA ANA, CA 92705-3870
Phone number: 714-618-9540
Mailing Address
CRYSTAL FAME DO
2212 E 4TH ST
SANTA ANA, CA 92705-3870
Phone number: 714-618-9540
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