Individual
PATRICIA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 MOLLISON WAY, LEWISTON, ME 04240-5811
(207) 312-6860
(207) 312-6863
Mailing address
18 MOLLISON WAY, LEWISTON, ME 04240-5811
(207) 312-6860
(207) 312-6863
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RN49042
ME
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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