Individual
MS. GRACE ROSELLE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3106 OLD FARM ROAD, BAKERSFIELD, CA 93312-3402
(661) 395-1835
(661) 589-8311
Mailing address
3106 OLD FARM ROAD, BAKERSFIELD, CA 93312-3402
(661) 395-1835
(661) 589-8311
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
20A5477
CA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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