Individual
DANNY WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 326-9057
Mailing address
2010 S JACKSON ST APT 603, SEATTLE, WA 98144-2276
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60816826
WA
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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