Individual
SUSAN LISA COSENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 W CORK ST, WINCHESTER, VA 22601-3870
(540) 877-7782
Mailing address
333 W CORK ST, WINCHESTER, VA 22601-3870
(540) 877-7782
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001278161
VA
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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