Martha S Crisostomo
NPI #1073767620 in Ontario, California
Provider Information
- NPI Number
- 1073767620
- Entity Type
- Organization
- Organization Name
- Martha S Crisostomo
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Nov 10, 2008
- Last Updated
- Jul 31, 2009
Practice Location
- Address
- 1000 W 4TH ST
- Address 2
- SUITE 375
- City
- Ontario
- State
- California
- ZIP Code
- 91762-1811
- Phone
- (909) 684-2022
Authorized Official
- Name
- MARTHA S CRISOSTOMO
- Title
- OWNER
- Phone
- (909) 684-2022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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