Individual
KRYSTLE SHARNA BONCATO BEKALO-QUINLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
24920 MOUND ST, LOMA LINDA, CA 92350
(479) 420-1746
Mailing address
24920 MOUND ST, LOMA LINDA, CA 92350-0202
(479) 420-1746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95009956
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95009956
CA
Other
Enumeration date
10/03/2018
Last updated
10/10/2018
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