Individual
CHRISTINE ELIZABETH PETRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 BAY BLVD, SUITE D, CHULA VISTA, CA 91911-7155
(619) 691-5301
Mailing address
3754 SHASTA ST, APT H, SAN DIEGO, CA 92109-6761
(619) 517-3866
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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