Crystal Leigh Willis
NPI #1326860164 in Summersville, West Virginia
Provider Information
- NPI Number
- 1326860164
- Entity Type
- Individual
- Name
- Crystal Leigh Willis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Oct 31, 2024
- Last Updated
- Oct 31, 2024
Practice Location
- Address
- 12063 TURNPIKE RD
- City
- Summersville
- State
- West Virginia
- ZIP Code
- 26651-5027
- Phone
- (304) 619-0221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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