Individual
MS. CHRISTINA MARIE PHOPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6956 E BROAD ST # 142, COLUMBUS, OH 43213-1517
(954) 225-1222
Mailing address
6956 E BROAD ST # 142, COLUMBUS, OH 43213-1517
(954) 225-1222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.150519-M-IV
OH
Other
Enumeration date
02/07/2016
Last updated
04/05/2017
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