Individual
HORACE WILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4845 BRAYTON AVE, LONG BEACH, CA 90807-1244
(562) 685-2481
(888) 865-4507
Mailing address
4845 BRAYTON AVE, LONG BEACH, CA 90807-1244
(562) 685-2481
(888) 865-4507
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
6ATW040
CA
347C00000X
Private Vehicle
7XBR923
CA
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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