Individual
CRISTAL GAHAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1229 KRONA LN, CONCORD, CA 94521-4718
(510) 435-6972
Mailing address
1229 KRONA LN, CONCORD, CA 94521-4718
(510) 435-6972
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
274019
CA
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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