Individual
MS. CRISTY CORPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1628 BROADWAY ST STE B, VALLEJO, CA 94590-2405
(707) 649-8300
Mailing address
1628 BROADWAY ST STE B, VALLEJO, CA 94590-2405
(707) 649-8300
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
724262
CA
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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