Individual
DOROTHY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6086 HWY 98 W STE 3, HATTIESBURG, MS 39402-8804
(601) 348-8452
Mailing address
6086 HWY 98 W STE 3, HATTIESBURG, MS 39402-8804
(601) 348-8452
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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