Provider Demographics
NPI:1154896165
Name:DEBOW, CHRISTINA ALANA (ACUPUNCTURIST)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:ALANA
Last Name:DEBOW
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 HYDRANGEA ST
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-5885
Mailing Address - Country:US
Mailing Address - Phone:904-671-4046
Mailing Address - Fax:
Practice Address - Street 1:69 S DIXIE HWY STE C1
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-4183
Practice Address - Country:US
Practice Address - Phone:904-671-4046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-05
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9248453163WM0102X
FL32334225700000X
FL3967171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist