Individual
MS. CRISTINA NADINE COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 S E ST, SAN BERNARDINO, CA 92408-2773
(909) 388-9191
Mailing address
2080 S E ST STE 250, SAN BERNARDINO, CA 92408-2706
(909) 825-8989
(909) 388-9195
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/27/2020
Last updated
08/16/2021
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