Individual
JACQUELINE CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 205-4665
Mailing address
457 SYCAMORE HILL DR, DANVILLE, CA 94526-3622
(925) 837-3322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2158
CA
Other
Enumeration date
01/14/2007
Last updated
01/03/2022
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