Individual
CHRISTINA L MOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
1669
NH
363AS0400X
Surgical Physician Assistant
Primary
PA2399
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065621
—
WA
05
—
500713946
—
OR
01
—
PA2399
MAINE PA LICENSE
ME
Enumeration date
03/24/2014
Last updated
11/10/2022
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