Individual
CHRISTI D SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
302 MAIN ST, FORSAN, TX 79733
(432) 457-0091
Mailing address
704 RICHIE RD, BIG SPRING, TX 79720-7093
(432) 816-9689
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
338132
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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