Individual
KRYSTAL FAYE SAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6833 INDIANA AVE STE 101, RIVERSIDE, CA 92506-4223
(657) 346-6319
(951) 269-4184
Mailing address
6164 GRANT ST, CHINO, CA 91710-3758
(909) 203-9523
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024925
CA
Other
Enumeration date
05/02/2023
Last updated
11/04/2024
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