Individual
MRS. MARILYN ELIZABETH WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
253021
CA
163WR0006X
Registered Nurse First Assistant
Primary
081500
CA
Other
Enumeration date
07/18/2007
Last updated
08/20/2008
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