LAWRENCE WILLIS

OAKLAND, CA
NPI1225588205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-10-13
Last Update Date2018-04-10
Business Address
LAWRENCE WILLIS
1411 E 31ST ST
OAKLAND, CA 94602-1018
Phone number: 510-437-4965
Mailing Address
LAWRENCE WILLIS
1411 E 31ST ST
OAKLAND, CA 94602-1018
Phone number:
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