Individual
EAN JOANA MCCRYSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 SOQUEL AVE, SANTA CRUZ, CA 95062-1402
(831) 600-2801
Mailing address
2250 SOQUEL AVE, SANTA CRUZ, CA 95062-1402
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95251409
CA
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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