Individual
ANNETTE WILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6312 MARINA PACIFICA DR S, KEY 16, LONG BEACH, CA 90803
(562) 685-2481
Mailing address
6312 MARINA PACIFICA DR S, KEY 16, LONG BEACH, CA 90803
(562) 685-2481
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
7KRT590
CA
347C00000X
Private Vehicle
TRUJOY
CA
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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