Individual
CHRISTINA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4311 11TH AVE NE STE 200, SEATTLE, WA 98105-6367
(206) 616-4001
(206) 616-3889
Mailing address
PO BOX 400, RICHMOND HILL, GA 31324-0400
(509) 939-6930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3407
SC
Other
Enumeration date
09/10/2018
Last updated
11/03/2019
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