Individual
CYNTHIA VISCONTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1469 STALLS WAY, VIRGINIA BEACH, VA 23453-8542
(757) 567-2650
Mailing address
1469 STALLS WAY, VIRGINIA BEACH, VA 23453-8542
(757) 567-2650
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2306601655
VA
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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