Individual
KRISTA NICOLE CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
4214 E LOS ANGELES AVE APT 2, SIMI VALLEY, CA 93063-3373
(805) 803-6595
Mailing address
4214 E LOS ANGELES AVE APT 2, SIMI VALLEY, CA 93063-3373
(805) 803-6595
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
01003405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619586930
BUSINESS NPI
CA
Enumeration date
08/04/2021
Last updated
08/04/2021
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