Provider Demographics
NPI:1598428740
Name:TAURENCE, CHRISTINA (FMCHC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:TAURENCE
Suffix:
Gender:F
Credentials:FMCHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10409 ASHMEAD LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-6702
Mailing Address - Country:US
Mailing Address - Phone:919-592-6588
Mailing Address - Fax:
Practice Address - Street 1:10409 ASHMEAD LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-6702
Practice Address - Country:US
Practice Address - Phone:919-592-6588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date: