Individual
SARAH JEAN MACISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5199 E PACIFIC COAST HWY, SUITE 324, LONG BEACH, CA 90804-3309
(562) 597-1152
(866) 825-4275
Mailing address
5199 E PACIFIC COAST HWY, SUITE 324, LONG BEACH, CA 90804-3309
(562) 597-1152
(866) 825-4275
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
BU21426050
CA
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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