SearchArizona385HR2055X

Kathy Willis

NPI 1932476611 · on the registry since 2011 · sole proprietor

Practice

Address
11026 E Segura Ave
Mesa, AZ 85212
Phone
(480) 235-9107

Additional practice sites

  • 2320 W Peoria Ave Ste C111, Phoenix, AZ

Registry record

Primary taxonomy
385HR2055X
385HR2055X
Also registered as
104100000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-17

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 Arizona