Individual
ALYSSIA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
14110 BURWELLS BAY RD, SMITHFIELD, VA 23430-3711
(443) 453-7889
Mailing address
14110 BURWELLS BAY RD, SMITHFIELD, VA 23430-3711
(443) 453-7889
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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