Individual
MS. CHRISTINA NICOLE BROOMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1605 WILSON AVE, LANCASTER, PA 17603-4522
(443) 722-3736
Mailing address
1605 WILSON AVE, LANCASTER, PA 17603-4522
(443) 722-3736
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003676
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508044041
—
MD
Enumeration date
02/06/2008
Last updated
10/17/2022
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