Individual
EVA ISLA CRISTOBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN,AGNP-C
Contact information
Practice address
542 E PLYMOUTH ST, GLENDORA, CA 91740-6081
(626) 914-2848
Mailing address
542 E PLYMOUTH ST, GLENDORA, CA 91740-6081
(626) 914-2848
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95006511
CA
Other
Enumeration date
07/15/2017
Last updated
07/21/2022
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