Individual
CHRISTINA DIANE GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW-C
Contact information
Practice address
153 E SPRINGFIELD RD, SULLIVAN, MO 63080-1311
(573) 468-4777
(573) 468-4757
Mailing address
153 E SPRINGFIELD RD, SULLIVAN, MO 63080-1311
(573) 468-4777
(573) 468-4757
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
17265
MO
183700000X
Pharmacy Technician
2021003337
MO
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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