Individual
WILLARD CLAY GILILLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13922 SEAL BEACH BLVD, STE B, SEAL BEACH, CA 90740-5387
(562) 431-1512
(562) 493-2135
Mailing address
5000 CHESHIRE PKWY N, PLYMOUTH, MN 55446-4103
(763) 268-4115
(763) 268-4430
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA3166
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA0031660
—
CA
Enumeration date
06/03/2006
Last updated
01/26/2011
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