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Individual

MS. CHRISTINA LYNN FANTOZZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6511 COYLE AVE, 2ND FLOOR, CARMICHAEL, CA 95608-0306
(916) 536-3665
(916) 536-3593
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES, RANCHO CORDOVA, CA 95670-7956

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
21745
CA

Other

Enumeration date
10/13/2011
Last updated
01/31/2017
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