Individual
CAROLYN MARIE KINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2040 PACIFIC COAST HWY, SUITE S, LOMITA, CA 90717-2660
(310) 257-6407
Mailing address
108 VIA ESTRELLITA, REDONDO BEACH, CA 90277-6449
(310) 375-1454
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
2247
CA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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