Individual
JAMES L WILLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-5884
(575) 527-5886
Mailing address
6870 ALHAMBRA CT, LAS CRUCES, NM 88007-8952
(575) 644-1849
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R65845
NM
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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