Individual
CRYSTEN GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4121 SANTA MONICA BLVD STE 106, LOS ANGELES, CA 90029-2270
(661) 431-2152
Mailing address
4121 SANTA MONICA BLVD STE 106, LOS ANGELES, CA 90029-2270
(661) 431-2152
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95018514
CA
390200000X
Student in an Organized Health Care Education/Training Program
813304
CA
Other
Enumeration date
10/30/2020
Last updated
09/06/2023
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