Individual
COLEEN MATONIC MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3611 S HARBOR BLVD STE 100, SANTA ANA, CA 92704-7915
(714) 966-8650
Mailing address
3611 S HARBOR BLVD STE 100, SANTA ANA, CA 92704-7915
(714) 966-8676
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/03/2008
Last updated
11/28/2011
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