Individual
JESSICA WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3002
(757) 395-8000
Mailing address
920 N HILLTOP RD, VIRGINIA BEACH, VA 23454-3537
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0136000144
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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