Krystal Moriyon Spates
Military Health Care Provider, Independent Duty Corpsman in Alameda, CA. Individual provider (NPI-1).
NPI number1982467601
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1982467601
- Entity type
- Individual (NPI-1)
- Name
- Krystal Moriyon Spates
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2024
- Certification date
- Feb 2, 2024
- Last updated
- Feb 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
1 Eagle RdAlameda, CA 94501-5100
Phone 510-437-5999
Mailing address
1 Eagle RdAlameda, CA 94501-5100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Independent Duty Corpsman providers in Alameda · All 2,839 providers in Alameda
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