Dethlefs, Crystal Faith

Dethlefs, Crystal Faith is an individual health care provider with primary practice located at 34101 Farenholt Ave , San Diego CA 92134-7000. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Dethlefs, Crystal Faith can be contacted via phone (619) 532-7968.

Contact Information

Primary practice address
34101 Farenholt Ave San Diego CA 92134-7000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1659914315
LBN Legal business name Dethlefs, Crystal Faith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2019
Last updated Oct 24th, 2019 - about 5 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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