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Individual

KRYSTLE MARGRET WILLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4625 MOUNTAIN LAKES BLVD, REDDING, CA 96003-1450
(530) 246-7172
Mailing address
4625 MOUNTAIN LAKES BLVD, REDDING, CA 96003-1450
(530) 246-7172

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
372600000X
Adult Companion
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
01/29/2024
Last updated
03/10/2026
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