Individual
CRYSTAL NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13763 HARVARD AVE, CHINO, CA 91710-7109
(707) 365-3599
Mailing address
13763 HARVARD AVE, CHINO, CA 91710-7109
(707) 365-3599
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95026258
CA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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