Individual
CRYSTAL LYNNE BLAKE-HUEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1522 W MISSION BLVD, ONTARIO, CA 91762-4730
(442) 221-1064
Mailing address
1522 W MISSION BLVD, ONTARIO, CA 91762-4730
(442) 221-1064
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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