MRS. Ella Mae Wickham
NPI #1336293851 in Martinsville, Virginia
Provider Information
- NPI Number
- 1336293851
- Entity Type
- Individual
- Name
- MRS. Ella Mae Wickham
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 22, 2007
- Last Updated
- May 18, 2023
Practice Location
- Address
- 117 BROAD ST
- City
- Martinsville
- State
- Virginia
- ZIP Code
- 24112-2803
- Phone
- (276) 632-1600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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