Search › California › 171M00000X
Shane Willis
NPI 1447764238 · on the registry since 2017
Practice
- Address
- 1907 Boys Republic Dr
Chino Hills, CA 91709 - Phone
- (909) 628-1217
- Organisation at this address
- Boys Republic
Boys Republic
Mind Care Medical Group, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 89
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2017-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California