Long, Krystal Matsue

Long, Krystal Matsue is an sole proprietor health care provider with primary practice located at 2034 Lake Tahoe Blvd , South Lake Tahoe CA 96150-6499. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Doula, Other Service Providers / Lactation Consultant, Non-RN. Other Service Providers / Lactation Consultant, Non-RN is her primary health care specialty. Long, Krystal Matsue can be contacted via phone (530) 541-9355.

Contact Information

Primary practice address
2034 Lake Tahoe Blvd South Lake Tahoe CA 96150-6499
Phone: (530) 541-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X
Other Service Providers / Lactation Consultant, Non-RN 174N00000X

Profile Details

NPI number 1083780290
LBN Legal business name Long, Krystal Matsue
Credentials B.A., LC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Dec 9th, 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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