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Individual

CHRISTIAN MAIETTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1615 E 17TH ST, SANTA ANA, CA 92705-8529
(657) 245-6419
Mailing address
1615 E 17TH ST, SANTA ANA, CA 92705-8529

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/26/2015
Last updated
08/26/2015
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