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CRYSTAL J COX PA
Federally Qualified Health Center (FQHC) >> Clinic/Center >> Ambulatory Health Care FacilitiesRegistrant NPI Number: 1811195100
Individual Registrant: CRYSTAL J COX PA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1381 UNIVERSITY ST HEALDSBURG, CA 95448-3314 US
Tel: 707-433-5494 Fax: --
Tel: 707-433-5494 Fax: --
Contact information for business:
1381 UNIVERSITY AVE HEALDSBURG, CA 95448 US
Tel: 707-433-5494 Fax: --
Tel: 707-433-5494 Fax: --
Registration Information:
NPI: 1811195100
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 261QF0400X | Ambulatory Health Care Facilities Clinic/Center Federally Qualified Health Center (FQHC) | CA | 12696 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
