Individual
LINDA WILMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
122G AGAPE WAY, STEPHENS CITY, VA 22655-2211
(540) 868-0288
Mailing address
125 ROSEDALE DR, STEPHENS CITY, VA 22655-2343
(540) 869-4097
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0019004169
VA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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