MEDICARE: VICTORIA CUNNEA, DC, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1386420859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICTORIA CUNNEA, DC, PLLC

Provider Business Mailing Address
First Line	:	3540 CLEMMONS RD STE 122
Second Line	:
City	:	CLEMMONS
State	:	NC
Zip	:	27012-9396
Country	:	US
Telephone Number	:	336-422-7255
Fax Number	:

Provider Business Practice Location Address
First Line	:	3540 CLEMMONS RD STE 122
Second Line	:
City	:	CLEMMONS
State	:	NC
Zip	:	27012-9396
Country	:	US
Telephone Number	:	336-422-7255
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VICTORIA CUNNEA
Credential	:	DC
Telephone Number	:	336-422-7255

Provider Enumeration Date	:	08/31/2023
Last Update Date	:	08/31/2023

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