Wagner, Crystal

Wagner, Crystal is an individual health care provider with primary practice located at 1343 N Grand Ave Ste 200 , Covina CA 91724-4043. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wagner, Crystal can be contacted via phone (626) 389-9747.

Contact Information

Primary practice address
1343 N Grand Ave Ste 200 Covina CA 91724-4043
Fax:
Website:

Health care specialties

Profile Details

NPI number 1740812338
LBN Legal business name Wagner, Crystal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2020
Last updated Feb 11th, 2020 - about 6 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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