Individual
CHRISTINE MAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11865 FIRESTONE BLVD, NORWALK, CA 90650-2902
(562) 806-1214
(562) 806-1218
Mailing address
12020 HALLWOOD DR, EL MONTE, CA 91732-1518
(626) 203-9157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95004943
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95004943
LICENCE
CA
Enumeration date
01/20/2017
Last updated
03/27/2019
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