Individual
CHRISTINA ROSE CARLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 BRONSON LN, PALM COAST, FL 32137-8725
(386) 307-2407
(386) 302-0289
Mailing address
36 BRONSON LN, PALM COAST, FL 32137-8725
(386) 307-2407
(386) 302-0289
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
ALF13355
FL
310400000X
Assisted Living Facility
Primary
13355
FL
Other
Enumeration date
12/09/2019
Last updated
03/10/2020
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