Individual
CRISTINA DATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22836 PORTER ST, NUEVO, CA 92567-9640
(951) 928-0706
(951) 928-0706
Mailing address
22836 PORTER ST, NUEVO, CA 92567-9640
(951) 928-0706
(951) 928-0706
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
336426474
CA
Other
Enumeration date
12/13/2015
Last updated
12/13/2015
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