Individual
MRS. CHRISTINE ANTOINETTE VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 461-8379
Mailing address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 834-4144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95189049
CA
363LF0000X
Family Nurse Practitioner
95028068
CA
Other
Enumeration date
09/16/2020
Last updated
11/29/2023
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