Individual
CHRISTINA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1841 INGRAM ST, HUMBOLDT, TN 38343-1575
(731) 487-3119
Mailing address
1841 INGRAM ST, HUMBOLDT, TN 38343-1575
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
82002
TN
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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