Individual
CHRISTINE LORRAINE HEDBLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, MFT
Contact information
Practice address
10446 RIDGEFIELD PKWY, HENRICO, VA 23233-3544
(804) 381-6238
Mailing address
2600 SHIRE WALK LN, HENRICO, VA 23233-6989
(804) 920-1312
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402205234
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402205234
0402205234
VA
Enumeration date
06/18/2021
Last updated
06/18/2021
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