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Individual

CHRISTINA MARIE LOSIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
15611 STATE HIGHWAY 23, DAVENPORT, NY 13750-8452
(607) 278-5511
(607) 278-5900
Mailing address
15611 STATE HIGHWAY 23, DAVENPORT, NY 13750-8468
(607) 278-5511
(607) 278-5900

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
664862-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
664862-1
NY
Enumeration date
04/11/2019
Last updated
04/11/2019
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