Individual
CHRISTIANIA VIOLA EDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(954) 518-5936
Mailing address
145 HIBISCUS PL, RIVER RIDGE, LA 70123-2505
(612) 859-9858
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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