Individual
CRYSTAL RENEE GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17010 CHATSWORTH ST, GRANADA HILLS, CA 91344-5844
(888) 227-3312
Mailing address
FILE 50670, LOS ANGELES, CA 90074-0670
(888) 227-3312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56201
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/24/2016
Last updated
05/07/2024
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