Individual
DR. RESTIE CRISOLOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4655
Mailing address
1100 PROMENADE ST, HERCULES, CA 94547-2711
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
53156
CA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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