Individual
CHRISTINA SOUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 CLIFTON AVE, COLLINGDALE, PA 19023-3734
(610) 696-5045
Mailing address
217 CLIFTON AVE, COLLINGDALE, PA 19023-3734
(610) 696-5045
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20663601
PA
251J00000X
Nursing Care Agency
04970501
PA
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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