Individual
CHRISTINA MARIE NEWPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Mailing address
177 N 12TH AVE, UPLAND, CA 91786-5510
(909) 243-5913
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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