Individual
CRISTAL GONZALEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1648 VALLARTA CIR, SACRAMENTO, CA 95834-2105
(916) 798-5494
Mailing address
1648 VALLARTA CIR, SACRAMENTO, CA 95834-2105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95360078
CA
163W00000X
Registered Nurse
97189
NE
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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