Individual
CHRISTINA VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
901 ENTERPRISE PKWY STE 900, HAMPTON, VA 23666-6250
(757) 827-2480
(757) 827-2566
Mailing address
901 ENTERPRISE PKWY STE 900, HAMPTON, VA 23666-6250
(757) 827-2480
(757) 827-2566
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126002590
VA
363A00000X
Physician Assistant
Primary
0110010172
VA
Other
Enumeration date
01/09/2017
Last updated
07/05/2024
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