Individual
CRYSTAL DEARTH-LORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55475 SANTA FE TRL, YUCCA VALLEY, CA 92284-3117
(760) 365-3022
Mailing address
PO BOX 6070, SUITE 225, BIG BEAR LAKE, CA 92315-6070
(909) 878-0101
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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