CRYSTAL FAITH DETHLEFS

SAN DIEGO, CA
NPI1659914315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2019-10-24
Last Update Date2019-10-24
Business Address
Mrs. CRYSTAL FAITH DETHLEFS
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
Mailing Address
Mrs. CRYSTAL FAITH DETHLEFS
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-0001
Phone number: 619-532-7968
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