Individual
KRISTINA MARIE CRESPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1245 E IRELAND RD, SOUTH BEND, IN 46614-3448
(574) 312-7022
Mailing address
88 E MONAVILLE RD, LAKE VILLA, IL 60046-9155
(219) 433-7763
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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