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Tanya Renee Willis
General Practice Registered Nurse in Apple Valley, California
NPI 1891345070

Tanya Renee Willis is a General Practice Registered Nurse based in Apple Valley, CA and is specialized in General Practice. Tanya Renee Willis practices in Apple Valley, CA. The NPI Number for Tanya Renee Willis is 1891345070 and holds a License No. 802219 (California).

The current practice location address for Tanya Renee Willis is 19166 La Quinta Pl, Apple Valley, CA and can be reached out via phone at 760-887-0477.

Location: 19166 La Quinta Pl, Apple Valley, CA, 92308-2700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891345070
Provider Name
Tanya Renee Willis
Credential
Provider Entity Type
Individual
Gender
Female
Address
19166 La Quinta Pl, Apple Valley, CA, 92308-2700
Phone Number
760-887-0477
Fax Number
Provider Enumeration Date
09/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19166 La Quinta Pl
City
Apple Valley
State
California
Zip
92308-2700
Phone Number
760-887-0477
Fax Number
person
Provider Business Mailing Address Details
Address
19166 La Quinta Pl
City
Apple Valley
State
California
Zip
92308-2700
Phone Number
760-887-0477
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
802219 (California)
Definition
Definition to come...
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