KRYSTAL GLOWACK

SAN DIEGO, CA
NPI1902448822
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-10-11
Last Update Date2019-10-11
Business Address
KRYSTAL GLOWACK
1315 25TH ST
SAN DIEGO, CA 92102-2107
Phone number: 619-233-0067
Mailing Address
KRYSTAL GLOWACK
4545 ARIZONA ST APT 207
SAN DIEGO, CA 92116-5909
Phone number: 612-636-5548