Jonathan Willis
Community Health Worker in San Francisco, CA. Individual provider (NPI-1).
NPI number1376906339
StatusActive
Last updated in NPPESMar 29, 2016
Details
- NPI
- 1376906339
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Willis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2016
- Last updated
- Mar 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1801 Vicente StSan Francisco, CA 94116-2923
Phone 415-681-3211
Mailing address
1801 Vicente StSan Francisco, CA 94116-2923
Phone 415-681-3211
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