Individual
CHRISTINA GOULART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 MIRASOL, IRVINE, CA 92620-0320
(757) 478-8571
Mailing address
5201 MIRASOL, IRVINE, CA 92620-0320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
34228
CA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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