Individual
DIANA MAY CRANDELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
26732 CROWN VALLEY PKWY, SUITE #351, MISSION VIEJO, CA 92691-6306
(949) 364-1007
Mailing address
110 E AVENIDA CORNELIO, SAN CLEMENTE, CA 92672-3205
(949) 361-9828
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
598856
CA
Other
Enumeration date
08/19/2005
Last updated
07/08/2007
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