Individual
WILNETTE ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 16TH ST, LYNCHBURG, VA 24504-3426
(434) 316-2373
Mailing address
1212 16TH ST, LYNCHBURG, VA 24504-3426
(434) 316-2373
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002073114
VA
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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