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Organization
PUISSANCE INT'L CORPORATION
Active
Organization
PUISSANCE INT'L CORPORATION
Active
Other names
ST. CHRISTOPHER ADHC
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA MEDRANO (VP-CFO)
(951) 549-6060
Entity
Organization
Contact information
Practice address
4300 GREEN RIVER RD, SUITE 109A, CORONA, CA 92880-1506
(951) 549-6060
(951) 549-6064
Mailing address
4300 GREEN RIVER RD, SUITE 109A, CORONA, CA 92880-1506
(951) 549-6060
(951) 549-6064
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
CA
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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