Individual
CRYSTAL RAQUEL JARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
13001 RAMONA BLVD STE A, IRWINDALE, CA 91706-3752
(323) 254-2274
Mailing address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 543-2800
(323) 978-1263
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
11/20/2023
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