Individual
JANET WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 BUKY RUN RD, CAIRO, WV 26337-6791
(304) 481-4444
Mailing address
1355 BUKY RUN RD, CAIRO, WV 26337-6791
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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