Individual
MRS. STARR LYNETTE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
10255 AGATE AVE, MENTONE, CA 92359-1378
(909) 200-0017
Mailing address
10255 AGATE AVE, MENTONE, CA 92359-1378
(909) 200-0017
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95031651
CA
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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