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Individual

MRS. CHRISTINE CRISOSTOMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
500 WINDSOR PARK DR, BAKERSFIELD, CA 93311-3586
(661) 472-2075
Mailing address
500 WINDSOR PARK DR, BAKERSFIELD, CA 93311-3586

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013681
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95013681
CA
Enumeration date
01/14/2020
Last updated
05/01/2023
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