Christina Lynn Fred
Home Health Aide in Du Quoin, IL. Individual provider (NPI-1).
NPI number1982208708
StatusActive
Last updated in NPPESNov 23, 2020
Details
- NPI
- 1982208708
- Entity type
- Individual (NPI-1)
- Name
- Christina Lynn Fred
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 23, 2020
- Certification date
- Nov 21, 2020
- Last updated
- Nov 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
314 E Cole StDu Quoin, IL 62832-2161
Phone 618-318-2421
Mailing address
314 E Cole StDu Quoin, IL 62832-2161
Phone 618-318-2421
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