Individual
CRYSTAL NICOLE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1827 ADAMS MILL RD NW STE C, WASHINGTON, DC 20009-1901
(202) 627-1903
(202) 660-0025
Mailing address
130 SUTTER ST FL 2, SAN FRANCISCO, CA 94104-4009
(415) 658-6791
(415) 520-0904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110001941
VA
363A00000X
Physician Assistant
Primary
031359
DC
Other
Enumeration date
03/31/2006
Last updated
11/24/2021
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