Individual
CHRISTINA MICHELLE MCGAUGHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43520 DIVISION ST, LANCASTER, CA 93535-4089
(661) 266-4783
(661) 266-1210
Mailing address
43520 DIVISION ST, LANCASTER, CA 93535-4089
(661) 266-4783
(661) 266-1210
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#95-2633765
MEDI-CAL
CA
Enumeration date
08/07/2014
Last updated
08/26/2014
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