Individual
CHRISTINA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12480 DILLINGHAM SQ, WOODBRIDGE, VA 22192-5258
(703) 494-6111
Mailing address
12480 DILLINGHAM SQ, WOODBRIDGE, VA 22192-5258
(703) 494-6111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102202792
VA
Other
Enumeration date
05/16/2008
Last updated
11/27/2023
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