Individual
KRYSTEN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9889 MAGNOLIA AVE STE A, RIVERSIDE, CA 92503-3581
(951) 542-3900
Mailing address
2794 VIRGO CIR, RIVERSIDE, CA 92503-6049
(951) 818-0955
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95019260
CA
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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