Individual
CHRISTINE A COETZEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8180 GREENSBORO DR, STE 300, MC LEAN, VA 22102-3888
(703) 810-5217
(703) 810-5423
Mailing address
PO BOX 75420, BALTIMORE, MD 21275-5420
(703) 383-6469
(703) 385-1062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003645
VA
363A00000X
Physician Assistant
PA9106613
FL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/13/2006
Last updated
07/25/2016
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