Individual
CHRISTARA AVANESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2776 PACIFIC AVE, LONG BEACH, CA 90806-2613
(562) 822-4683
Mailing address
4903 LOWELL AVE, LA CRESCENTA, CA 91214-1037
(818) 279-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A15875
CA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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