Individual
CRYSTAL JENIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 W ADAMS BLVD, LOS ANGELES, CA 90018-2039
(323) 432-5185
(323) 432-5086
Mailing address
269 S BEVERLY DR # 119, BEVERLY HILLS, CA 90212-3851
(310) 999-5077
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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