Individual
CRYSTAL LYNNETTE RAISBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 RUSTIN AVENUE, RIVERSIDE, CA 92507
(951) 515-5608
Mailing address
2085 RUSTIN AVENUE, RIVERSIDE, CA 92507
(951) 515-5608
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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