Provider Demographics
NPI:1295195402
Name:STRONG, CHRISTINE (NMD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:STRONG
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2062 E SOUTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7515
Mailing Address - Country:US
Mailing Address - Phone:480-777-5945
Mailing Address - Fax:480-646-3454
Practice Address - Street 1:2062 E SOUTHERN AVE
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7515
Practice Address - Country:US
Practice Address - Phone:480-777-5945
Practice Address - Fax:480-646-3454
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath