Individual
CRYSTAL PAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(510) 317-1444
Mailing address
480 CHADBOURNE RD, FAIRFIELD, CA 94534-9639
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/28/2014
Last updated
04/30/2024
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