Individual
MRS. CHRISTINE M BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BC
Contact information
Practice address
1250 N FERDON BLVD, CRESTVIEW, FL 32536-1751
(850) 689-7177
(850) 689-7332
Mailing address
221 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5066
(850) 833-9240
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN9188227
FL
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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