Individual
SHALONDA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5434 CREEKSIDE RIDGE TRAIL, KATY, TX 77449
(219) 588-7387
Mailing address
5434 CREEKSIDE RIDGE TRAIL, KATY, TX 77449
(219) 588-7387
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
932095
TX
Other
Enumeration date
11/12/2020
Last updated
12/03/2020
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