Rosalyn Marie Willis
Technician, Attendant Care Provider in Brookshire, TX. Individual provider (NPI-1).
NPI number1669016002
StatusActive
Last updated in NPPESOct 29, 2019
Details
- NPI
- 1669016002
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Rosalyn Marie Willis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 29, 2019
- Last updated
- Oct 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
4826 11th StreetBrookshire, TX 77423
Phone 832-659-9844
Mailing address
Po Box 1614Brookshire, TX 77423
Phone 837-659-9844
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