Individual
MRS. CRISTINA REYES FAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.H.N.P.
Contact information
Practice address
29 OROVILLE, IRVINE, CA 92602-0923
(626) 216-0612
Mailing address
29 OROVILLE, IRVINE, CA 92602-0923
(626) 216-0612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
7271
CA
363LX0106X
Occupational Health Nurse Practitioner
Primary
7271
CA
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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