Individual
KRYS LOUELLA ELGARICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, NP-C
Contact information
Practice address
415 E HARDING WAY STE D, STOCKTON, CA 95204-6118
(209) 944-5750
Mailing address
415 E HARDING WAY STE D, STOCKTON, CA 95204-6118
(209) 944-5750
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95022394
CA
Other
Enumeration date
07/10/2020
Last updated
12/08/2022
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