Individual
KRYSTAL NICHELE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3680 COPPER RIDGE DR, CORONA, CA 92882-8692
(951) 734-3904
Mailing address
3680 COPPER RIDGE DR, CORONA, CA 92882-8692
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
472159
CA
363L00000X
Nurse Practitioner
Primary
7960
CA
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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