(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003291188
Provider Name: TRISTA NICOLE SOS LVN
Entity Type: Individual
Taxonomy Code: 164X00000X
Specialty: Licensed Vocational Nurse
License Number: VN 247964
Most Important Dates
Enumeration Date: 07/30/2015
Last Updated: 07/30/2015
Provider Practice Location
1907 TIBURON DR
REDDING
CA
960039232
Practice Location Phone/Fax
Phone: 7073621751
Fax:
Provider Mailing Location
1907 TIBURON DR
REDDING
CA
96003
Provider Mailing Phone/Fax
Phone: 7073621751
Fax: