Individual
CRYSTAL ROSE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4620 ALVARADO CANYON RD STE 14, SAN DIEGO, CA 92120-4306
(858) 318-5977
Mailing address
4620 ALVARADO CANYON RD STE 14, SAN DIEGO, CA 92120-4306
(858) 318-5977
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-ICEZRX
CA
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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