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1871064436
CRYSTAL HUSTAD PENA
TORRANCE, CA
NPI
1871064436
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Former Name
CRYSTAL NICOLE HUSTAD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95010408)
Enumeration Date
2018-12-07
Last Update Date
2022-06-01
Business Address
CRYSTAL HUSTAD PENA APRN, NP-C
3440 LOMITA BLVD STE 240
TORRANCE, CA 90505-4871
Phone number: 310-539-5060
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Mailing Address
CRYSTAL HUSTAD PENA APRN, NP-C
225 LONG BEACH BLVD UNIT 122
LONG BEACH, CA 90802-3186
Phone number: 714-316-6530
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