Shane Anthony Willis
NPI #1447764238 in Chino Hills, California
Provider Information
- NPI Number
- 1447764238
- Entity Type
- Individual
- Name
- Shane Anthony Willis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 1, 2017
- Last Updated
- Dec 1, 2017
Practice Location
- Address
- 1907 BOYS REPUBLIC DR
- City
- Chino Hills
- State
- California
- ZIP Code
- 91709-5447
- Phone
- (909) 628-1217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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