Individual
CHRISTINE RIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
178 CORINTHIA DR, NEWPORT NEWS, VA 23608-2530
(304) 582-8937
Mailing address
178 CORINTHIA DR, NEWPORT NEWS, VA 23608-2530
(304) 582-8937
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001799
VA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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