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Roxanne Willis
NPI 1831509066 · on the registry since 2014 · sole proprietor
Practice
- Address
- 6186 W Maine St.
Spirit Lake, ID 83869 - Phone
- (208) 651-2298
- Fax
- (208) 623-6717
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-30
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 Idaho