SANDRA WALLER

LYNCHBURG, VA
NPI1609277888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: VA  1201080783)
Enumeration Date2014-09-08
Last Update Date2014-09-08
Business Address
-- SANDRA WALLER Certified Hair Loss
3106 MEMORIAL AVE
LYNCHBURG, VA 24501-3730
Phone number: 434-845-4448
Mailing Address
-- SANDRA WALLER Certified Hair Loss
3106 MEMORIAL AVE
LYNCHBURG, VA 24501-3730
Phone number: 434-845-4448