Provider Information for 1659396299
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Ms. CYNTHIA LEE CHRISTIANSEN M.F.T.
Sex: Female
NPI: 1659396299
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1659396299 | ||||||||
| Enumeration Date | 2006-07-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3760 CONVOY ST SUITE 118 SAN DIEGO, CA 92111-3742 United States Phone: 619-884-1549 | Fax: | ||||||||
| Primary Practice Address | 3760 CONVOY ST SUITE 118 SAN DIEGO, CA 92111-3742 United States Phone: 619-884-1549 | Fax:858-693-8314 | ||||||||
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