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Individual

MEREDITH CESPEDES SORIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19450 DEERFIELD AVENUE, SUITE 300, LEESBURG, VA 20176-6821
(703) 723-6774
(703) 723-1494
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024178811
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1962034066
VA
05
30016395720001
VA
Enumeration date
02/06/2020
Last updated
03/06/2024
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