Individual
CHAUNTEL WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3719 GOLDLEAF TRAIL DR, KATY, TX 77449-1659
(713) 890-2295
(713) 583-7028
Mailing address
3719 GOLDLEAF TRAIL DR, KATY, TX 77449-1659
(713) 890-2295
(713) 583-7028
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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