Individual
CRYSTAL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 PACIFIC HWY, SAN DIEGO, CA 92110-2030
(619) 961-2165
Mailing address
4141 PACIFIC HWY, SAN DIEGO, CA 92110-2030
(619) 961-2165
(619) 393-2059
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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