Individual
CRYSTAL NORDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7575 SOQUEL DR, APTOS, CA 95003-3815
(831) 251-1555
Mailing address
7575 SOQUEL DR, APTOS, CA 95003-3815
(831) 251-1555
(831) 661-0228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
36787
CA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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