Search › California › 163WP0809X
Crystal Costa
NPI 1245609395 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4732 Dundee St
Antioch, CA 94531 - Phone
- (925) 421-8429
Registry record
- Primary taxonomy
- 163WP0809X
163WP0809X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California