Individual
MRS. CHRISTINE LOUISE CONSTABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, WHNP-BC
Contact information
Practice address
1805 WENDY WAY, MANHATTAN BEACH, CA 90266-4140
(310) 487-7002
Mailing address
1805 WENDY WAY, MANHATTAN BEACH, CA 90266-4140
(310) 487-7002
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
557566
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
95001407
CA
Other
Enumeration date
06/01/2013
Last updated
11/13/2014
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