Individual
SHARON K WILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHP
Contact information
Practice address
3065 ROSECRANS PL, SUITE 105, SAN DIEGO, CA 92110-4820
(760) 703-6107
Mailing address
6230 CRYSTAL LAKE AVE, SAN DIEGO, CA 92119-3331
(760) 703-6107
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
28053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28053
CALIFORNIA MASSAGE THERAPY COUNCIL
CA
Enumeration date
07/02/2012
Last updated
07/02/2012
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