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Individual

CHRISTIN DANAE IZETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IMF

Contact information

Practice address
104 WALNUT AVE, STE 208, SANTA CRUZ, CA 95060-3900
(831) 423-9444
(831) 423-1532
Mailing address
104 WALNUT AVE, STE 208, SANTA CRUZ, CA 95060-3900
(831) 423-9444
(831) 423-1532

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
IMF 58479
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IMF 58479
IMF
CA
Enumeration date
03/12/2009
Last updated
03/12/2009
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