Individual
MRS. CHRISTIN ROSE BAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PA-C
Contact information
Practice address
4060 4TH AVE, 7TH FLOOR, SAN DIEGO, CA 92103
(619) 686-8313
Mailing address
4060 4TH AVE, 7TH FLOOR, SAN DIEGO, CA 92103
(619) 686-8313
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT001307
GA
363A00000X
Physician Assistant
Primary
PA21934
CA
Other
Enumeration date
05/22/2007
Last updated
02/12/2013
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