Individual
EVE LAVALLEY WILLSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5821 JAMESON CT, CARMICHAEL, CA 95608-0890
(916) 486-0411
Mailing address
5821 JAMESON CT, CARMICHAEL, CA 95608-0890
(916) 486-0411
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
71404
AZ
207V00000X
Obstetrics & Gynecology Physician
Primary
A123871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71404
TRAINING PERMIT
AZ
Enumeration date
07/01/2010
Last updated
03/27/2014
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