Individual
THERESA ANN CONYNGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
8260 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 305-1172
Mailing address
8260 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 305-1172
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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