Individual
CHRISTINA NAKAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-4000
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-4000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00304
MS
Other
Enumeration date
10/05/2016
Last updated
12/07/2016
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