Individual
MISS CRYSTAL GALE HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3990 BRANCH CENTER RD, SACRAMENTO, CA 95827-3809
(916) 876-7239
Mailing address
6789 RANCHO ADOBE DR, SACRAMENTO, CA 95828-1920
(916) 239-8916
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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