SERITA D WILLIS, Private Vehicle BASSETT, VA

Contact Information

SERITA D WILLIS

2557 WILLIE CRAIG ROAD
BASSETT, VA 24055

Phone: 276-224-3518
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Private Vehicle	347C00000X

Indicates primary specialty

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NPI Profile & details for SERITA D WILLIS · (Female)

NPI #	`1598267544`
Status	Active
Credentials
Entity	Individual
Enumeration date	03/06/2018
Last updated	03/06/2018 - About 8 years ago
Sole proprietor ¹	Yes
Identifiers	VA License # T63326190
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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SERITA D WILLISPrivate Vehicle

Contact Information

Specialty

Private Vehicle

NPI Profile & details for SERITA D WILLIS · (Female)

Reviews for SERITA D WILLIS

SERITA D WILLIS
Private Vehicle