Individual
KRISTA STANTON-MOUTTAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(866) 454-3485
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(664) 543-4858
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
16332
CA
208100000X
Physical Medicine & Rehabilitation Physician
5101021156
MI
Other
Enumeration date
06/26/2014
Last updated
12/21/2021
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