Most Relevant Information
Provider Data
| NPI Number: | 1003688292 |
| Provider Name: | SHAWNDRIKA WILKERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 0019016446 |
Most Important Dates
| Enumeration Date: | 10/23/2023 |
| Last Updated: | 10/23/2023 |
Provider Practice Location
355 CRAWFORD ST
PORTSMOUTH
VA
237042816
Practice Location Phone/Fax
| Phone: | 7575774541 |
| Fax: |
Provider Mailing Location
1701 MAPLE AVE
PORTSMOUTH
VA
237044621
Provider Mailing Phone/Fax
| Phone: | 7575774541 |
| Fax: |