Individual
CHRISTINA BANNISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 ALTON RD, 2ND FLOOR, MIAMI BEACH, FL 33139-2420
(305) 534-4694
Mailing address
1001 N MARTEL AVE, WEST HOLLYWOOD, CA 90046-6611
(323) 436-5019
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5177978
FL
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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