Individual
CHRISTINE GITHAIGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1439 PRIMITIVO LN, MANTECA, CA 95336-2899
(510) 449-5750
Mailing address
1439 PRIMITIVO LN, MANTECA, CA 95336-2899
(510) 449-5750
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95122472
CA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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