Individual
CYNTHIA DAWN DAVOUDABADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 CASEY ST, SANDSTON, VA 23150-2156
(804) 939-2816
(804) 328-2162
Mailing address
308 CASEY ST, SANDSTON, VA 23150-2156
(804) 939-2816
(804) 328-2162
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T65431121
VA
Other
Enumeration date
06/16/2019
Last updated
06/16/2019
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