Individual
MS. CRYSTAL LISA RENE DE COTRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAP, PA-C
Contact information
Practice address
3828 SCHAUFELE AVE STE 340, LONG BEACH, CA 90808-1793
(657) 241-9052
(714) 665-4663
Mailing address
3828 SCHAUFELE AVE STE 340, LONG BEACH, CA 90808-1793
(657) 241-9052
(714) 665-4663
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA21595
CA
Other
Enumeration date
03/15/2011
Last updated
08/10/2022
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