Individual
ASHLEY S WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
806 JOHNSON AVE APT 3, NORFOLK, VA 23504-2763
(757) 264-0555
Mailing address
806 JOHNSON AVE APT 3, NORFOLK, VA 23504-2763
(757) 264-0555
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019010148
VA
Other
Enumeration date
01/18/2023
Last updated
01/25/2023
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