Provider Demographics
NPI:1770245862
Name:SCORE, CHRISTINE RAE (CPM, LM)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:RAE
Last Name:SCORE
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33784 BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92545-9217
Mailing Address - Country:US
Mailing Address - Phone:951-552-4838
Mailing Address - Fax:
Practice Address - Street 1:33784 BEVERLY DR
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92545-9217
Practice Address - Country:US
Practice Address - Phone:951-552-4838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM660176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife