Individual
MS. CHRISTINA NICOLE DEFELICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(484) 832-6787
Mailing address
4517 PINE ST APT 1702, PHILADELPHIA, PA 19143-1886
(484) 832-6787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3250
CO
363A00000X
Physician Assistant
Primary
MA059786
PA
Other
Enumeration date
08/31/2011
Last updated
08/07/2018
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