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Individual

MISS CRYSTAL MARIE BRAVATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
400 PARNASSUS AVE FL 3, SAN FRANCISCO, CA 94143-2202
(415) 353-9360
Mailing address
400 PARNASSUS AVE FL 3, SAN FRANCISCO, CA 94143-2202
(415) 353-9360

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52373
CA
363AS0400X
Surgical Physician Assistant
PA 9103370
FL

Other

Enumeration date
01/18/2007
Last updated
08/02/2023
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