Individual
SHALETTA SHERREL WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DRIVER
Contact information
Practice address
2116 ALLISON DR, CHESAPEAKE, VA 23325-4704
(757) 288-4596
(757) 288-4596
Mailing address
2116 ALLISON DR # 2116, CHESAPEAKE, VA 23325-4704
(757) 672-6044
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/02/2017
Last updated
06/16/2018
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