Individual
KRISTINA STARR MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2440 PROSPECT DR, UPLAND, CA 91784-1142
(216) 203-8531
Mailing address
2440 PROSPECT DR, UPLAND, CA 91784-1142
(216) 203-8531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95228847
CA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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