Individual
MISS KRISTINA LOUISE EL-CHEMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
611 E SHEVLIN AVE, HAZEL PARK, MI 48030-3026
(248) 275-6554
Mailing address
611 E SHEVLIN AVE, HAZEL PARK, MI 48030-3026
(248) 275-6554
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
115463
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115463
NBSTSA
CO
01
—
ST 60487918
WASHINGTON STATE DEPT OF HEALTH SURGICAL TECHNOLOGY REGISTRATION
WA
Enumeration date
08/14/2014
Last updated
08/14/2014
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