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Individual

CHRISTINIA LYINN-MARIE MORTIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
13640 STATE ROUTE 22, CANAAN, NY 12029-3506
(607) 422-0085
Mailing address
583 SOUTHLAKE BLVD STE B, NORTH CHESTERFIELD, VA 23236-3096
(540) 903-8090

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
331502
NY

Other

Enumeration date
05/27/2022
Last updated
05/27/2022
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