Individual
DESHUNTA DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 FAIRY STREET EXT STE B, MARTINSVILLE, VA 24112-1913
(276) 201-1647
Mailing address
314 FAIRY STREET EXT STE B, MARTINSVILLE, VA 24112-1913
(276) 201-1647
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
84-3482425
VA
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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