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Individual

CRYSTAL MARIE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9990 COUNTY FARM RD, BLGD. #6, RIVERSIDE, CA 92503-3542
(951) 509-2499
Mailing address
9825 MAGNOLIA AVE, SUITE B, PMB 322, RIVERSIDE, CA 92503-3562
(951) 509-2499

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
788131
CA

Other

Enumeration date
01/09/2017
Last updated
01/09/2017
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