Individual
DR. NICOLE CHARLOTTE CHRISTACOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
14225 NEWBROOK DR, CHANTILLY, VA 20151-2228
(703) 802-7155
(703) 802-7103
Mailing address
14225 NEWBROOK DR, CHANTILLY, VA 20151-2228
(703) 802-7155
(703) 802-7103
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
2005032
VA
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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