Individual
KRYSTAL LYNN BORGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19029 PIRES AVE, CERRITOS, CA 90703-7350
(562) 882-4522
Mailing address
19029 PIRES AVE, CERRITOS, CA 90703-7350
(562) 882-4522
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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