Individual
MR. CHRISTOPHER DENTON WILLIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA, GNA, CLA, CMA
Contact information
Practice address
4472 FEDERALSBURG HWY, FEDERALSBURG, MD 21632-2203
(410) 253-1139
(866) 451-1386
Mailing address
4472 FEDERALSBURG HWY, FEDERALSBURG, MD 21632-2203
(410) 253-1139
(866) 451-1386
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
MD
372600000X
Adult Companion
—
MD
3747P1801X
Personal Care Attendant
—
MD
374U00000X
Home Health Aide
Primary
—
MD
376K00000X
Nurse's Aide
—
MD
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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