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MS. CHRISTINE ANNE MILLARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
415 OLD NEWPORT BLVD STE 200, NEWPORT BEACH, CA 92663-4252
(949) 548-9611
(949) 548-9958
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-5154

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
010530
NY
363AM0700X
Medical Physician Assistant
Primary
1066480
CA

Other

Enumeration date
01/09/2007
Last updated
11/21/2022
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