Most Relevant Information
Provider Data
| NPI Number: | 1003534306 |
| Provider Name: | MICHELLE ANN GAIQUINTA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/22/2022 |
| Last Updated: | 08/22/2022 |
Provider Practice Location
7545 METROPOLITAN DR
SAN DIEGO
CA
921084402
Practice Location Phone/Fax
| Phone: | 6197189890 |
| Fax: |
Provider Mailing Location
7545 METROPOLITAN DR
SAN DIEGO
CA
921084402
Provider Mailing Phone/Fax
| Phone: | 6197189890 |
| Fax: |