Individual
MRS. CHRISTINE JOY PHONGDARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4990 ARLINGTON AVE STE D, RIVERSIDE, CA 92504-2757
(951) 785-9011
Mailing address
8812 E CRESTVIEW LN, ANAHEIM, CA 92808-1663
(714) 281-2534
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
504575
CA
Other
Enumeration date
05/17/2007
Last updated
08/12/2019
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