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Individual

CRYSTAL MOSS PATTERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
530 LYTTON AVE FL 2, PALO ALTO, CA 94301-1541
(415) 663-5584
Mailing address
13520 MCLEAREN RD UNIT 711401, HERNDON, VA 20171-8059

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177748
VA
363LF0000X
Family Nurse Practitioner
1055017
TX
363LF0000X
Family Nurse Practitioner
R195242
MD
363LF0000X
Family Nurse Practitioner
RN2026635
DC
363LF0000X
Family Nurse Practitioner
TPAN1149
FL

Other

Enumeration date
05/07/2018
Last updated
06/02/2023
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