CRYSTAL MARIE MAKASARASHVILI

SUNNYVALE, CA
NPI1831937895
Former NameCRYSTAL MARIE GARCIA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA  95030716)
Enumeration Date2024-07-16
Last Update Date2024-07-16
Business Address
CRYSTAL MARIE MAKASARASHVILI
201 OLD SAN FRANCISCO RD
SUNNYVALE, CA 94086-6385
Phone number: 408-730-4256
Mailing Address
CRYSTAL MARIE MAKASARASHVILI
450 WAINWRIGHT AVE
SAN JOSE, CA 95128-2163
Phone number: