Individual
KRYSTAL FORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25102 JEFFERSON AVE, MURRIETA, CA 92562-1707
(951) 461-1190
(951) 461-7975
Mailing address
25102 JEFFERSON AVE, MURRIETA, CA 92562-1707
(951) 461-1190
(951) 461-7975
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3694
CA
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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