Individual
KRYSTA MALTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
103 MEDICINE WAY RD, PERIDOT, AZ 85542-5000
(928) 475-1478
(928) 475-1414
Mailing address
3837 W LAYTON ST, THATCHER, AZ 85552-5249
(928) 651-1709
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN205702
AZ
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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