Individual
MS. CYNTHIA J.E. COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
330 PARK AVE, SUITE 3, LAGUNA BEACH, CA 92651-2352
(949) 497-2553
(949) 497-5273
Mailing address
330 PARK AVE, SUITE 3, LAGUNA BEACH, CA 92651-2352
(949) 497-2553
(949) 497-5273
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29364
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC29364
STATE LICENSE #
CA
Enumeration date
07/15/2006
Last updated
07/08/2007
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