Individual
MS. ELIZABETH WILLETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TECHNICIAN
Contact information
Practice address
3733 RIVERBROOK DR, LOUISVILLE, TN 37777-3159
(714) 330-1495
Mailing address
3733 RIVERBROOK DR, LOUISVILLE, TN 37777-3159
(714) 330-1495
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
06/16/2018
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