Provider Demographics
NPI:1639336647
Name:BROWN, CHRISTINA J (LVN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:J
Last Name:BROWN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12192 SHERIDAN LN
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-2813
Mailing Address - Country:US
Mailing Address - Phone:714-537-2393
Mailing Address - Fax:714-537-3997
Practice Address - Street 1:12192 SHERIDAN LN
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-2813
Practice Address - Country:US
Practice Address - Phone:714-537-2393
Practice Address - Fax:714-537-3997
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA185857164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse