Individual
CYNTHIA WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 WALKER SQ APT 2D, CHARLOTTESVILLE, VA 22903-3479
(716) 330-9118
Mailing address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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