Individual
CRISTOFER PREDEBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
631 HAYES, IRVINE, CA 92620-3777
(949) 201-8981
Mailing address
631 HAYES, IRVINE, CA 92620-3777
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
10604
CA
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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