Individual
DEAN CREMAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2630 1ST AVE, SAN DIEGO, CA 92103-6599
(619) 234-2158
(619) 487-9739
Mailing address
11472 SWAN LAKE DR, SAN DIEGO, CA 92131-2917
(858) 603-2511
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
788882
CA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
788882
CA
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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