Provider Demographics
NPI:1982655924
Name:YASTRZEMSKI, CHRISTINE (AP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:YASTRZEMSKI
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4337 PABLO OAKS CT STE 200
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-4627
Mailing Address - Country:US
Mailing Address - Phone:904-373-8415
Mailing Address - Fax:
Practice Address - Street 1:4337 PABLO OAKS CT STE 200
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-4627
Practice Address - Country:US
Practice Address - Phone:904-373-8415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2255171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist