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Individual

SHERRY LYNN TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSA OPA

Contact information

Practice address
2308 BEACH HAVEN DR, UNIT 203, VIRGINIA BEACH, VA 23451-1252
(757) 718-7843
Mailing address
2308 BEACH HAVEN DR, UNIT 203, VIRGINIA BEACH, VA 23451-1252
(757) 718-7843

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
246ZS0410X
Surgical Technologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24
ORTHOPEDIC PHYSICIAN ASSISTANT
VA
01
2420
NSAA
Enumeration date
04/01/2009
Last updated
07/10/2014
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