Provider Demographics
NPI:1194163790
Name:ROBB, CHRISTINA ANNA (LAC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ANNA
Last Name:ROBB
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11022 S 51ST ST STE 250
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-4319
Mailing Address - Country:US
Mailing Address - Phone:480-788-0565
Mailing Address - Fax:
Practice Address - Street 1:11022 S 51ST ST STE 250
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-4319
Practice Address - Country:US
Practice Address - Phone:480-788-0565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-010032171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist