Individual
CRYSTAL MACIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1009 N AVALON BLVD, WILMINGTON, CA 90744-4505
(310) 549-1551
Mailing address
1009 N AVALON BLVD, WILMINGTON, CA 90744-4505
(310) 549-1551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52621
CA
Other
Enumeration date
07/03/2015
Last updated
12/13/2024
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