Individual
DAWNE MICHELLE COSTANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
17931 BEACH BLVD STE 100, HUNTINGTON BEACH, CA 92647-7113
(562) 242-9161
Mailing address
1525 MESA VERE DR E, STE 108, COSTA MESA, CA 92626
(714) 502-4243
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
34808
CA
Other
Enumeration date
03/27/2020
Last updated
09/21/2020
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