Individual
ANGELA DARLENE CRISANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
520 E TULARE AVE, VISALIA, CA 93292-3629
(559) 623-0490
Mailing address
5957 S MOONEY BLVD, VISALIA, CA 93277-9394
(559) 737-4669
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 22595
CA
Other
Enumeration date
01/29/2008
Last updated
11/05/2013
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