Individual
LINDA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5589 GREENWICH RD, #175, VIRGINIA BEACH, VA 23462-6565
(757) 216-9115
(757) 216-9117
Mailing address
5589 GREENWICH RD, #175, VIRGINIA BEACH, VA 23462-6565
(757) 216-9115
(757) 216-9117
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
01/15/2013
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