Individual
MRS. CRYSTAL MANETTE LIMONTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP, RN
Contact information
Practice address
609 CARNATION CT, SAN MARCOS, CA 92078-5393
(949) 292-6602
Mailing address
609 CARNATION CT, SAN MARCOS, CA 92078-5393
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95015716
CA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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