Christina A Dea
Technician, Attendant Care Provider in Port Charlotte, FL. Individual provider (NPI-1).
NPI number1609179894
StatusActive
Last updated in NPPESDec 10, 2010
Details
- NPI
- 1609179894
- Entity type
- Individual (NPI-1)
- Name
- Christina A Dea
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 10, 2010
- Last updated
- Dec 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | 000523200 | FL | Yes |
Practice location
18117 Dickens AvePort Charlotte, FL 33954-1763
Phone 941-276-4937
Mailing address
18117 Dickens AvePort Charlotte, FL 33954-1763
Phone 941-276-4937
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