Individual
LASHAWN R WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
560 W BROWN RD STE 3001-366, MESA, AZ 85201-3221
(480) 331-5807
Mailing address
560 W BROWN RD, MESA, AZ 85201-3221
(480) 331-5807
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
LICA25-22850
AZ
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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