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Individual

MRS. LAURICE EVETTE HAYCRAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, APRN, PMHNP

Contact information

Practice address
770 MAGNOLIA AVE, #2F, CORONA, CA 92879
(951) 356-5414
Mailing address
6850 BOEING AVE, FONTANA, CA 92336
(419) 870-1888

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95065093
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95016580
CA

Other

Enumeration date
03/09/2021
Last updated
03/09/2021
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