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Individual

CHRISTINA MARIE THURSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1110 ANNAPOLIS RD, ODENTON, MD 21113-1602
(443) 351-3917
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6100219
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2142578
WA
Enumeration date
04/27/2011
Last updated
09/11/2025
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