Individual
MRS. DANNIELLE VICTORIA CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12968 FREDERICK ST, SUITE D, MORENO VALLEY, CA 92553-5229
(951) 242-7738
Mailing address
12968 FREDERICK ST, SUITE D, MORENO VALLEY, CA 92553-5229
(951) 242-7738
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073790424
—
CA
Enumeration date
09/01/2016
Last updated
09/01/2016
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