CRYSTAL MARIE MAKASARASHVILI

SAN JOSE, 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 Date2026-01-13
Business Address
CRYSTAL MARIE MAKASARASHVILI
6840 VIA DEL ORO STE 210
SAN JOSE, CA 95119-1372
Phone number: 408-284-2280
Mailing Address
CRYSTAL MARIE MAKASARASHVILI
450 WAINWRIGHT AVE
SAN JOSE, CA 95128-2163
Phone number:
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