Individual
ANNIE DORIS WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8048 SPRING THAW LN, NEW KENT, VA 23124-3071
(540) 351-2040
Mailing address
8048 SPRING THAW LN, NEW KENT, VA 23124-3071
(504) 351-2040
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1401000477
VA
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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