Individual
MS. DOMERGUE D WILLINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMT, C.M.A.
Contact information
Practice address
4300 PORTSMOUTH BLVD STE 262, CHESAPEAKE, VA 23321-2138
(757) 270-6469
Mailing address
4004 SUNKIST RD, CHESAPEAKE, VA 23321-3122
(757) 270-6469
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019015125
VA
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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