Individual
CHRISTAL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 S SUNSET AVE STE 350, WEST COVINA, CA 91790-3963
(909) 272-9005
Mailing address
7356 ELDERBERRY CT, FONTANA, CA 92336-3185
(909) 272-9005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95017492
CA
Other
Enumeration date
06/10/2021
Last updated
10/25/2024
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