Individual
CRISTINA MACEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 CARMEN LN, 201, SANTA MARIA, CA 93458-7769
(805) 739-8706
Mailing address
212 CARMEN LN, 201, SANTA MARIA, CA 93458-7769
(805) 739-8706
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952589228
CARES CRISIS RESIDENTIAL
—
Enumeration date
04/02/2012
Last updated
04/02/2012
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