Individual
RALPH CRISOSTOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 SERENO DR, SPINE CLINIC H31, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
975 SERENO DR, SPINE CLINIC H31, VALLEJO, CA 94589-2441
(707) 651-1000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A104669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356952700
—
MN
Enumeration date
02/01/2006
Last updated
12/13/2021
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