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Individual

ANITA CAROLINE MONIUSZKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
430 POPPY AVE, CORONA DEL MAR, CA 92625-2508
(949) 706-7463
Mailing address
430 POPPY AVE, CORONA DEL MAR, CA 92625-2508
(949) 706-7463

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4485
CA

Other

Enumeration date
10/10/2006
Last updated
06/27/2011
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