Individual
DALYNNE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
729 SUNRISE AVE STE 612, ROSEVILLE, CA 95661-4548
(916) 666-2715
Mailing address
729 SUNRISE AVE STE 612, ROSEVILLE, CA 95661-4548
(916) 666-2715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
95010568
CA
363L00000X
Nurse Practitioner
Primary
95010568
CA
Other
Enumeration date
01/23/2019
Last updated
10/24/2022
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