Individual
MRS. CASEY DASHIELL WILLAFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
713 VOLVO PKWY STE 200, CHESAPEAKE, VA 23320-1614
(757) 282-4150
Mailing address
713 VOLVO PKWY STE 200, CHESAPEAKE, VA 23320-1614
(757) 282-4150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005422
VA
Other
Enumeration date
07/11/2016
Last updated
11/22/2023
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