Individual
MRS. ROSALYN MARIE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4826 11TH STREET, BROOKSHIRE, TX 77423
(832) 659-9844
Mailing address
PO BOX 1614, BROOKSHIRE, TX 77423
(837) 659-9844
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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