Individual
CHRISTINA LEA KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2549 ELON DR, VIRGINIA BEACH, VA 23454-4353
(757) 718-4917
Mailing address
2549 ELON DR, VIRGINIA BEACH, VA 23454-4353
(757) 718-4917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001241081
VA
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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