Provider Information for 1003410226
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CHERYL DELYNN CONEY
Sex: Female
NPI: 1003410226
Last Updated: 2020-11-29
Certification Date: 2020-11-29
Certification Date: 2020-11-29
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1003410226 | ||||||||||||||||
| Enumeration Date | 2020-11-29 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 44840 MILESTONE SQ APT 202 ASHBURN, VA 20147-4219 United States Phone: 412-614-1941 | Fax: | ||||||||||||||||
| Primary Practice Address | 20955 PROFESSIONAL PLZ STE 310 ASHBURN, VA 20147-3405 United States Phone: 571-257-3378 | Fax:571-257-0906 | ||||||||||||||||
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