Individual
CARLYN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 SAINT PAUL AVE, LINCOLN, NE 68504-2760
(800) 541-3818
Mailing address
5000 SAINT PAUL AVE, LINCOLN, NE 68504-2760
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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