Giles Cyrus Custodio Crockett-Sano, AGACNP-BC
NPI #1699373365 in Westminster, California
Provider Information
- NPI Number
- 1699373365
- Entity Type
- Individual
- Name
- Giles Cyrus Custodio Crockett-Sano, AGACNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- AGACNP-BC
- Enumeration Date
- Oct 14, 2020
- Last Updated
- Oct 14, 2020
Practice Location
- Address
- 9353 BOLSA AVE STE A100
- City
- Westminster
- State
- California
- ZIP Code
- 92683-5951
- Phone
- (800) 641-4651
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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