Individual
CRYSTAL SOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S MAIN ST, CORONA, CA 92882-3420
(951) 737-4343
Mailing address
29605 SOLANA WAY, APT E14, TEMECULA, CA 92591-3752
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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