Individual
MRS. CHRISTINA LARAINE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8815 GERMANTOWN AVE, SUITE 22, PHILADELPHIA, PA 19118-2722
(215) 248-8887
(215) 836-5372
Mailing address
8815 GERMANTOWN AVE, SUITE 40, PHILADELPHIA, PA 19118-2722
(215) 248-8369
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110003230
VA
363A00000X
Physician Assistant
Primary
MA054750
PA
Other
Enumeration date
03/18/2010
Last updated
10/13/2022
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