Organization
ADVANCED WOUND CARE AND AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MAC NP (PRESIDENT)
(626) 203-9157
Entity
Organization
Contact information
Practice address
11865 FIRESTONE BLVD, NORWALK, CA 90650-2902
(626) 203-9157
Mailing address
11865 FIRESTONE BLVD, NORWALK, CA 90650-2902
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/22/2021
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