Individual
MISS CONSTANCE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
15744 GOLDENWEST ST, HUNTINGTON BEACH, CA 92647-3103
(714) 895-8248
(714) 895-8320
Mailing address
14202 FLOWER ST APT T, GARDEN GROVE, CA 92843-4777
(714) 534-8480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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