KRISTINE THERESA SMIRCICH

FAIRFIELD, CA
NPI1518377084
Former NameKRISTINE THERESA BLOUNT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  9686)
Enumeration Date2014-05-05
Last Update Date2014-05-05
Business Address
-- KRISTINE THERESA SMIRCICH SP
1101 B GALE WILSON BLVD SUITE 101A
FAIRFIELD, CA 94533-3700
Phone number: 707-646-4150
Mailing Address
-- KRISTINE THERESA SMIRCICH SP
1200 B GALE WILSON BLVD ATTN REHAB DEPT
FAIRFIELD, CA 94533-3552
Phone number: 707-646-4150
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