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Individual

CHRISTINE CECYLIA DOBROWOLSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
1626 MYRTLE AVE, STE A, EUREKA, CA 95501
(707) 441-1112
(707) 441-1711
Mailing address
1464 STERLING CT., SOUTHLAKE TAHOE, CA 96150
(775) 721-0677
(530) 573-1496

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4091
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E40910
CA
01
480025680
RAILROAD MEDICARE
CA
Enumeration date
06/09/2006
Last updated
12/07/2011
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