Individual
CRYSTAL VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSING
Contact information
Practice address
3144 LANDESS AVE APT D, SAN JOSE, CA 95132-1264
(408) 263-1417
Mailing address
3144 LANDESS AVE APT D, SAN JOSE, CA 95132-1264
(408) 263-1417
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
163392
CA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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