SHELLY R COPPOCK

FALLS CHURCH, VA
NPI1881249431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: VA  0024177977)
Enumeration Date2019-08-09
Last Update Date2019-08-09
Business Address
Mrs. SHELLY R COPPOCK CPNP
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-4001
Mailing Address
Mrs. SHELLY R COPPOCK CPNP
2724 OMISOL RD
WOODBRIDGE, VA 22192-3829
Phone number: 571-220-4654
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