Individual
DANA WILLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 34TH ST, SAN DIEGO, CA 92102-2416
(619) 232-2946
Mailing address
1201 34TH ST, SAN DIEGO, CA 92102-2416
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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