Individual
KRISTIE MLYNN CYRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2558 W SAMPLE AVE, FRESNO, CA 93711-1749
(559) 410-1539
Mailing address
2558 W SAMPLE AVE, FRESNO, CA 93711-1749
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23249
CA
Other
Enumeration date
07/18/2013
Last updated
08/02/2023
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