Provider Demographics
NPI:1174826432
Name:TIAN, CHRISTINA (LAC, MAOM)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:TIAN
Suffix:
Gender:F
Credentials:LAC, MAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 ROCKLEDGE DR STE 310
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1841
Mailing Address - Country:US
Mailing Address - Phone:301-880-3232
Mailing Address - Fax:301-530-2200
Practice Address - Street 1:6410 ROCKLEDGE DR STE 310
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1841
Practice Address - Country:US
Practice Address - Phone:301-880-3232
Practice Address - Fax:301-530-2200
Is Sole Proprietor?:No
Enumeration Date:2010-12-08
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000607171100000X
MDU01837171100000X
DCAC500126171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist