Costa, Crystal Jean Nicole

Costa, Crystal Jean Nicole is an sole proprietor health care provider with primary practice located at 4732 Dundee St , Antioch CA 94531-9449. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Costa, Crystal Jean Nicole can be contacted via phone (925) 421-8429.

Contact Information

Primary practice address
4732 Dundee St Antioch CA 94531-9449
Phone: (925) 421-8429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 95029245 California

Profile Details

NPI number 1245609395
LBN Legal business name Costa, Crystal Jean Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2015
Last updated Dec 3rd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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