Individual
DR. CHRISTINE GILMORE EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., CCC-A
Contact information
Practice address
403 NORTH 11TH ST., NELSON CLINIC RM 304, RICHMOND, VA 23298-0150
(804) 828-0431
(804) 628-0950
Mailing address
403 NORTH 11TH ST., PO BOX 980150, RICHMOND, VA 23298-0150
(804) 828-0431
(804) 628-0950
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001368
VA
231H00000X
Audiologist
AU1903
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
353796
ANTHEM RICHMOND
VA
01
—
353800
ANTHEM NORTHERN VIRGINIA
VA
Enumeration date
05/30/2008
Last updated
03/08/2010
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