Willard Ray Shell
NPI #1144862194 in Hesperia, California
Provider Information
- NPI Number
- 1144862194
- Entity Type
- Individual
- Name
- Willard Ray Shell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Oct 10, 2019
- Last Updated
- Oct 10, 2019
Practice Location
- Address
- 17764 EUCALYPTUS ST
- City
- Hesperia
- State
- California
- ZIP Code
- 92345-5153
- Phone
- (760) 995-0069
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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