Individual
MRS. STACEY V WILMOT-BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
13995 US HIGHWAY 29, CHATHAM, VA 24531-5278
(434) 432-9752
Mailing address
13995 US HIGHWAY 29, CHATHAM, VA 24531-5278
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001773
VA
Other
Enumeration date
06/29/2008
Last updated
10/21/2021
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