Individual
JAMES LAVELL WILLIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3520 E SHIELDS AVE STE 102, FRESNO, CA 93726-6923
(559) 538-1230
Mailing address
3520 E SHIELDS AVE STE 102, FRESNO, CA 93726-6923
(559) 538-1230
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95267946
CA
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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