Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 0116034950 | VA |
NPI | 1003330895 |
---|---|
Provider Name | Abigail Claire Yoder Wills |
First Address | Spokane, WA 99204-2307 |
Second Address | Charlottesville, VA 22908-2307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2017 |
Last Update Date | 25/07/2021 |