Individual
CRYSTAL RIZA SIDDIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5321 VIA MARISOL, LOS ANGELES, CA 90042-4883
(323) 478-8244
(323) 254-3200
Mailing address
5321 VIA MARISOL, LOS ANGELES, CA 90042-4883
(323) 478-8244
(323) 254-3200
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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