Provider Demographics
NPI:1386420859
Name:VICTORIA CUNNEA, DC, PLLC
Entity type:Organization
Organization Name:VICTORIA CUNNEA, DC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUNNEA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-422-7255
Mailing Address - Street 1:3540 CLEMMONS RD STE 122
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-9396
Mailing Address - Country:US
Mailing Address - Phone:336-422-7255
Mailing Address - Fax:
Practice Address - Street 1:3540 CLEMMONS RD STE 122
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-9396
Practice Address - Country:US
Practice Address - Phone:336-422-7255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service