Individual
CHRISTINA SERGAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5392 RUFFORD ST, WESTERVILLE, OH 43081-6029
(614) 849-8618
Mailing address
5392 RUFFORD ST, WESTERVILLE, OH 43081-6029
(614) 849-8618
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
M2569635
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106545118799
—
OH
01
—
M2569635
DODD CONTRACT PROVIDER NUMBER
OH
Enumeration date
03/29/2017
Last updated
03/29/2017
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