Individual
CRISTIANA COSTA CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2400 PRATT STREET, ABMT CLINIC, DURHAM, NC 27705
(919) 668-1002
(919) 668-1091
Mailing address
DUMC BOX 3961, DURHAM, NC 27710
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OT014193
PA
Other
Enumeration date
06/08/2011
Last updated
03/06/2019
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