Most Relevant Information
Provider Data
| NPI Number: | 1003395864 |
| Provider Name: | CHRISTINE MARIE MOAK AGACNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 95009397 |
Most Important Dates
| Enumeration Date: | 08/11/2018 |
| Last Updated: | 08/11/2018 |
Provider Practice Location
3060 MCNAB AVE
LONG BEACH
CA
908084002
Practice Location Phone/Fax
| Phone: | 5622774741 |
| Fax: |
Provider Mailing Location
3060 MCNAB AVE
LONG BEACH
CA
908084002
Provider Mailing Phone/Fax
| Phone: | 5622774741 |
| Fax: |