Individual
MRS. CHRISTINA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
104 EAGLE RIVER CT, JACKSONVILLE, NC 28540-7745
(252) 503-6069
Mailing address
104 EAGLE RIVER CT, JACKSONVILLE, NC 28540-7745
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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