Search › California › 101YS0200X
Shannon Willis
NPI 1598675191 · on the registry since 2026 · sole proprietor
Practice
- Address
- 136 N Ramona Blvd
San Jacinto, CA 92583 - Phone
- (951) 654-7349
Registry record
- Primary taxonomy
- 101YS0200X
101YS0200X
- Sex
- Female
- Record last updated
- 2026-09-08
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