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Crystal Jackson
NPI 1760137889 · on the registry since 2022 · sole proprietor
Practice
- Address
- 14219 Kendra Way
Poway, CA 92064 - Phone
- (858) 837-0180
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-17
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