Individual
CRYSTAL ROSE TANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAOM, LMP
Contact information
Practice address
3239 ADAMS AVE, SAN DIEGO, CA 92116-1645
(619) 546-4806
Mailing address
3239 ADAMS AVE, SAN DIEGO, CA 92116-1645
(619) 546-4806
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC20186
CA
171100000X
Acupuncturist
AC60723656
WA
172M00000X
Mechanotherapist
3134
CA
172M00000X
Mechanotherapist
MA60448826
WA
Other
Enumeration date
12/14/2016
Last updated
03/26/2025
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