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Crystal Fame
Student in an Organized Health Care Education/Training Program in Moreno Valley, California
NPI 1588246284

Crystal Fame is a Student in an Organized Health Care Education/Training Program based in Moreno Valley, CA. Crystal Fame practices in Moreno Valley, CA. The NPI Number for Crystal Fame is 1588246284 and holds a License No. (California).

The current practice location address for Crystal Fame is 23520 Cactus Ave, Moreno Valley, CA and can be reached out via phone at 951-867-3825.

Location: 23520 Cactus Ave, Moreno Valley, CA, 92553-8906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588246284
Provider Name
Crystal Fame
Credential
Provider Entity Type
Individual
Gender
Female
Address
23520 Cactus Ave, Moreno Valley, CA, 92553-8906
Phone Number
951-867-3825
Fax Number
Provider Enumeration Date
04/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
23520 Cactus Ave
City
Moreno Valley
State
California
Zip
92553-8906
Phone Number
951-867-3825
Fax Number
person
Provider Business Mailing Address Details
Address
23520 Cactus Ave
City
Moreno Valley
State
California
Zip
92553-8906
Phone Number
951-867-3825
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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