person
Ms. Crystal Lisa Rene De Cotret, MPAP,PA-C
Surgical Physician Assistant in Long Beach, California
NPI 1780982819

Crystal Lisa Rene De Cotret is a Surgical Physician Assistant based in Long Beach, CA and is specialized in Surgical. Crystal Lisa Rene De Cotret practices in Long Beach, CA and has the professional credentials of MPAP,PA-C. The NPI Number for Crystal Lisa Rene De Cotret is 1780982819 and holds a License No. PA21595 (California).

The current practice location address for Crystal Lisa Rene De Cotret is 3828 Schaufele Ave Ste 340, Long Beach, CA and can be reached out via phone at 657-241-9052 and via fax at 714-665-4663.

Location: 3828 Schaufele Ave Ste 340, Long Beach, CA, 90808-1793
person
Provider Profile Details
NPI Number
1780982819
Provider Name
Crystal Lisa Rene De Cotret
Credential
MPAP,PA-C
Provider Entity Type
Individual
Gender
Female
Address
3828 Schaufele Ave Ste 340, Long Beach, CA, 90808-1793
Phone Number
657-241-9052
Fax Number
714-665-4663
Provider Enumeration Date
03/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3828 Schaufele Ave Ste 340
City
State
Zip
90808-1793
Phone Number
657-241-9052
Fax Number
714-665-4663
person
Provider Business Mailing Address Details
Address
3828 Schaufele Ave Ste 340
City
State
Zip
90808-1793
Phone Number
657-241-9052
Fax Number
714-665-4663
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA21595 (California)
Definition
Definition to come...
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