Individual
CHRISTINA OHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8608 N 59TH AVE, GLENDALE, AZ 85302-5404
(623) 979-2565
Mailing address
5730 N 12TH PL, PHOENIX, AZ 85014-2327
(602) 488-7976
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9817
AZ
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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