Individual
MISS CRYSTAL STACY MING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22330 HAWTHORNE BLVD STE J, TORRANCE, CA 90505-2551
(954) 651-3059
Mailing address
320 THE VLG UNIT 211, REDONDO BEACH, CA 90277-2613
(954) 651-3059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55778
CA
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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