Individual
CHRISTINA JASMINE CONZATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-3989
Mailing address
1417 E PASS RD, GULFPORT, MS 39507-3522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202219244
VA
183500000X
Pharmacist
27762
MD
183500000X
Pharmacist
Primary
T-100147
MS
Other
Enumeration date
12/02/2020
Last updated
02/19/2025
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