Individual
CRYSTAL DU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1422 E VIRGINIA AVE, GLENDORA, CA 91741-2366
(626) 616-6896
Mailing address
1422 E VIRGINIA AVE, GLENDORA, CA 91741-2366
(626) 616-6896
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95034551
CA
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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