Provider Demographics
NPI:1881308708
Name:WILLIFORD, VIRGINIA LELA
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:LELA
Last Name:WILLIFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 V ST NW APT 711
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-6254
Mailing Address - Country:US
Mailing Address - Phone:202-867-4084
Mailing Address - Fax:
Practice Address - Street 1:1440 V ST NW APT 711
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-6254
Practice Address - Country:US
Practice Address - Phone:202-867-4084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant