Individual
WILLIAM HOUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14361 HWY 128, 236, BOONVILLE, CA 95415-0236
(707) 895-2641
Mailing address
PO BOX 236, 14361 HWY 128, BOONVILLE, CA 95415-0236
(707) 895-2641
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B3619876
CA
172A00000X
Driver
C6528142
CA
Other
Enumeration date
12/19/2016
Last updated
12/28/2016
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