Individual
CHRISTINA GANDARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 SAN JACINTO RIVER RD STE 107, LAKE ELSINORE, CA 92530-4400
(951) 674-9243
Mailing address
265 SAN JACINTO RIVER RD STE 107, LAKE ELSINORE, CA 92530-4400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103494
CA
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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