Individual provider · Type 1 NPI

Crystella Suos

Student in an Organized Health Care Education/Training Program · Fresno, CA

NPI number 1558065110 Active

Practice location

1303 E Herndon Ave
Fresno, CA 93720-3309

Mailing address

5245 S Cedar Ave
Fresno, CA 93725-9756

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558065110

Crystella Suos's National Provider Identifier is 1558065110, issued on Mar 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fresno, CA. The record was last updated on Mar 28, 2023.