Individual
MRS. MICHELE TRACEY CONSTANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
9920 TALBERT AVE, FOUNTAIN VALLEY, CA 92708-5153
(714) 378-7550
Mailing address
5582 CONIFER DR, LA PALMA, CA 90623-1315
(714) 378-7550
(714) 378-5610
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
553554
CA
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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