Individual
PEGGY J CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5901 E 7TH ST, GRMEC-08, LONG BEACH, CA 90822-5201
(562) 826-5470
(562) 825-5471
Mailing address
7007 E HANBURY ST, LONG BEACH, CA 90808-2321
(562) 420-8192
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN388554
CA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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