Individual
SARAH ELIZABETH WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 KERNAN DR, GWYNN OAK, MD 21207-6665
(410) 448-6464
(410) 448-2595
Mailing address
310 SOPHIA CT, PIKESVILLE, MD 21208-4106
(937) 307-5946
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
1954454
MD
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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