Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 0402202317 | VA |
NPI | 1003061599 |
---|---|
Provider Name | Christine R. Brickhouse |
First Address | Norfolk, VA 23511 |
Second Address | Norfolk, VA 23511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2008 |
Last Update Date | 25/11/2008 |