Smalls-Gonzales, Crystal

Smalls-Gonzales, Crystal is an individual health care provider with primary practice located at 1310 Southern Ave Se , Washington DC 20032-4699. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smalls-Gonzales, Crystal can be contacted via phone (202) 574-6000.

Contact Information

Primary practice address
1310 Southern Ave Se Washington DC 20032-4699
Phone: (202) 574-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA149 District of Columbia

Profile Details

NPI number 1689624843
LBN Legal business name Smalls-Gonzales, Crystal
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Oct 5th, 2007 - about 17 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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