Individual
CHRISTOPHER DION GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5849 CROCKER ST, LOS ANGELES, CA 90003-1311
(323) 234-4445
(323) 234-4477
Mailing address
5849 CROCKER ST, LOS ANGELES, CA 90003-1311
(323) 234-4445
(323) 234-4477
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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