Individual
CHARISSE RICAFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1944 N TUSTIN ST STE 114, ORANGE, CA 92865-4643
(657) 758-4882
Mailing address
1717 E BIRCH ST APT H204, BREA, CA 92821-5110
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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