Individual
SHAWNDRIKA WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 CRAWFORD ST, PORTSMOUTH, VA 23704-2816
(757) 577-4541
Mailing address
1701 MAPLE AVE, PORTSMOUTH, VA 23704-4621
(757) 577-4541
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016446
VA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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