Provider Demographics
NPI:1932404407
Name:COFFIE, CHRISTINA AGYEIWAA (RDMS)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:AGYEIWAA
Last Name:COFFIE
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:11910 PHEASANT RUN DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-3133
Mailing Address - Country:US
Mailing Address - Phone:240-253-3019
Mailing Address - Fax:307-776-4979
Practice Address - Street 1:11910 PHEASANT RUN DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-3133
Practice Address - Country:US
Practice Address - Phone:240-253-3019
Practice Address - Fax:307-776-4979
Is Sole Proprietor?:No
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1253772471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography