Individual
JEFFREY CHARLES WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
1633 BIRCHWOOD AVE, BELLINGHAM, WA 98225-9220
(360) 715-8722
Mailing address
2501 COLLEGE AVE, BELLINGHAM, WA 98225-8321
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
00022139
WA
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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