Individual
MRS. CRYSTAL CLAYTONIA KARGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, IBCLC
Contact information
Practice address
150 E 9TH AVE, ESCONDIDO, CA 92025-5153
(760) 580-9815
Mailing address
260 W CREST ST, SUITE B, ESCONDIDO, CA 92025-1716
(760) 580-9815
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1057601
CA
174N00000X
Lactation Consultant (Non-RN)
L-48564
CA
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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