SearchVirginia246ZA2600X

Christina Southers, MASTERS BOARD CERT

NPI 1255047270 · on the registry since 2023 · sole proprietor

Practice

Address
587 Southlake Blvd Ste A
North Chesterfield, VA 23236
Phone
(804) 895-7616
Organisation at this address
Secret Guru Permanent Makeup
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
246ZA2600X
246ZA2600X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia