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Individual

DR. ROSOLENA VISCO CONROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
A16413
NC
208000000X
Pediatrics Physician
Primary
9700041
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1019E
BCBS
NC
01
5950393
CIGNA HEALTHCARE
NC
05
891019E
NC
Enumeration date
02/28/2007
Last updated
05/18/2023
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