Individual
CHRISTINA LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2751 NAPA VALLEY CORPORATE DR, NAPA, CA 94558-6216
(707) 253-4391
(707) 299-2123
Mailing address
2751 NAPA VALLEY CORPORATE DR, NAPA, CA 94558-6216
(707) 253-4391
(707) 299-2123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
808632
CA
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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