JEFFREY RYUTA WILLIS

SACRAMENTO, CA
NPI1023301330
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  A123650)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2011-05-18
Last Update Date2015-03-31
Business Address
Dr. JEFFREY RYUTA WILLIS M.D., PhD
4860 Y ST STE 2400
SACRAMENTO, CA 95817-2307
Phone number: 916-734-6602
Mailing Address
Dr. JEFFREY RYUTA WILLIS M.D., PhD
6565 N CHARLES ST STE 203
BALTIMORE, MD 21204-5805
Phone number: 443-849-3760