Individual
JOANN CHRISTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NRCMA, AA HEALTHCARE
Contact information
Practice address
712 CANDELILA DR, DESOTO, TX 75115-6680
(469) 258-7173
Mailing address
712 CANDELILA DR, DESOTO, TX 75115-6680
(469) 258-7173
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
62005204065101709
TX
Other
Enumeration date
10/25/2014
Last updated
10/25/2014
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