CEDRIC R WILLIS

SHREVEPORT, LA
NPI1801196589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.200392)
Enumeration Date2010-10-27
Last Update Date2022-08-12
Business Address
CEDRIC R WILLIS PA-C
8001 YOUREE DR STE 540
SHREVEPORT, LA 71115-2343
Phone number: 318-631-9121
Mailing Address
CEDRIC R WILLIS PA-C
3217 MABEL ST
SHREVEPORT, LA 71103-4022
Phone number: 318-631-9121
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