Individual
CASONDRA CHATMAN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO 7660
Contact information
Practice address
3910 LIBERTY HILL DR, CLERMONT, FL 34711-5373
(407) 738-2821
Mailing address
3910 LIBERTY HILL DR, CLERMONT, FL 34711-5373
(407) 738-2821
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DO7660
FL
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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