IndividualActive
Alfred Wallace
NPI 1518614734 · Driver · Williamsburg, VA
Provider details
- NPI number
- 1518614734
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
4703 Revolutionary Way
Williamsburg, VA 23188-7588
Phone: (804) 543-7493
Approximate (ZIP-level) locationGet directions
Mailing address
4703 Revolutionary Way
Williamsburg, VA 23188-7588
Registry dates
- Enumerated
- 2022-03-08
- Last updated
- 2022-03-08
- Certified
- 2022-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.