Individual
DAVID L CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 W 4TH ST, NEW RIVER CORPORATION, CARSON CITY, NV 89703
(775) 555-5555
Mailing address
PO BOX 1903, SEWARD, AK 99664-1903
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
08015003
AK
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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