Individual
CRISTAL ABIGAIL LANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1120 S 18TH ST, YAKIMA, WA 98901-3654
(509) 573-5530
Mailing address
1138 S CORNING ST APT 19, LOS ANGELES, CA 90035-2451
(310) 502-6163
(310) 502-6163
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DERE.RR.61671125
WA
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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