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NPI Code Detail

MEDICARE: CRYSTAL MASSEY

MEDICARE: CRYSTAL MASSEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist75836CA

General Provider Information

NPI Number : 1417496787
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL MASSEY
Provider Business Mailing Address
First Line : 6265 EL CAJON BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-3917
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6265 EL CAJON BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92115-3917
Country : US
Telephone Number : 619-287-6848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2017
Last Update Date : 02/19/2017

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Directions to “ CRYSTAL MASSEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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