SHANETTA WILLIS

EL DORADO, AR
NPI1497033385
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA 2374)
Enumeration Date2011-07-27
Last Update Date2011-07-27
Business Address
-- SHANETTA WILLIS
116 WILDWOOD CIR
EL DORADO, AR 71730-2424
Phone number: 870-310-7226
Mailing Address
-- SHANETTA WILLIS
116 WILDWOOD CIR
EL DORADO, AR 71730-2424
Phone number:
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