Individual
MRS. CHRISTY BLACK WILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
211 W COMMONWEALTH AVE, FULLERTON, CA 92832-1810
(714) 447-7000
Mailing address
211 W COMMONWEALTH AVE, FULLERTON, CA 92832-1810
(714) 447-7000
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
685615
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WPO808X
—
CA
Enumeration date
12/02/2008
Last updated
12/02/2008
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