Individual
ELIZABETH CRISOSTOMO MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 853-2916
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 853-2916
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
794542
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
20645
CA
Other
Enumeration date
05/24/2011
Last updated
06/04/2020
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