KRISTA FUQUA

GRANTS PASS, OR
NPI1013347582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: OR  201606762NP-PP)
Enumeration Date2013-11-20
Last Update Date2021-08-12
Business Address
KRISTA FUQUA
1585 NW WASHINGTON BLVD
GRANTS PASS, OR 97526-1049
Phone number: 541-474-5511
Mailing Address
KRISTA FUQUA
PO BOX 99371
FORT WORTH, TX 76199-0371
Phone number: 682-885-1855
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