Individual
CHERRY LYNNE C MALIKSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
18507 CABIN RD, TRIANGLE, VA 22172-1502
(571) 379-3086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175467
VA
363LF0000X
Family Nurse Practitioner
RN1015940
DC
Other
Enumeration date
10/31/2017
Last updated
09/16/2019
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