Individual
KATHLEEN ELIZABETH WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7396 COUNTY ROAD H, DELTA, OH 43515-9632
(567) 395-1189
Mailing address
7396 COUNTY ROAD H, DELTA, OH 43515-9632
(567) 395-1189
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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