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Individual

MISS CRYSTAL MANCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4001 NICOLET AVE APT 2, LOS ANGELES, CA 90008-2222
(323) 610-0556
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/29/2019
Last updated
05/01/2019
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