Individual
KRYSTAL AMANDA VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
8300 UTICA AVE STE 259, RANCHO CUCAMONGA, CA 91730-3852
(909) 906-1505
(909) 906-1508
Mailing address
1713 CASEROS DR, SAN JACINTO, CA 92582-3305
(909) 781-9524
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95037330
CA
Other
Enumeration date
10/06/2025
Last updated
12/02/2025
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