Individual
ANDREA SHERRELL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5339 ARBOR PL, WILLIAMSBURG, VA 23188-2469
(757) 714-1272
Mailing address
PO BOX 430, LIGHTFOOT, VA 23090-0430
(757) 561-8109
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
664
VA
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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