Tina Marie Wills, optometry tech
Technician, Other in Fort Leonard Wood, MO. Individual provider (NPI-1).
NPI number1144537366
StatusActive
Last updated in NPPESSep 9, 2010
Details
- NPI
- 1144537366
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tina Marie Wills
- Credential
- optometry tech
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2010
- Last updated
- Sep 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
126 Missouri Ave. Eent ClinicJeneral Leonard Wood Army Community Hospital
Fort Leonard Wood, MO 65473
Phone 573-596-0131 · Fax 573-596-0086
Mailing address
126 Missouri Ave. Eent ClinicJeneral Leonard Wood Army Community Hospital
Fort Leonard Wood, MO 65473
Phone 573-596-0131 · Fax 573-596-0086
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Other Other Technician providers in Fort Leonard Wood, MO
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All 9 Other Technician providers in Fort Leonard Wood · All 558 providers in Fort Leonard Wood
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