Provider Demographics
NPI:1306411574
Name:CHERISTIN, CLAUDETTE CLERVIL (RRT)
Entity Type:Individual
Prefix:
First Name:CLAUDETTE
Middle Name:CLERVIL
Last Name:CHERISTIN
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13549 GORGONA ISLE DR
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6763
Mailing Address - Country:US
Mailing Address - Phone:407-758-4251
Mailing Address - Fax:
Practice Address - Street 1:13549 GORGONA ISLE DR
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-6763
Practice Address - Country:US
Practice Address - Phone:407-758-4251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health