Individual
CHRISTINA SOUTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS BOARD CERT.
Contact information
Practice address
587 SOUTHLAKE BLVD STE A, NORTH CHESTERFIELD, VA 23236-3096
(804) 895-7616
Mailing address
3511 BELLBLUFF DR, NORTH CHESTERFIELD, VA 23237-1002
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
VA
Other
Enumeration date
01/24/2023
Last updated
02/01/2023
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