Individual provider · Type 1 NPI

Weston Willard

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1104667260 Active

Practice location

2570 48th St
Sacramento, CA 95817-1541

Call (916) 734-2145 Map

Mailing address

9872 Star Dr
Huntington Beach, CA 92646-6516

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104667260

Weston Willard's National Provider Identifier is 1104667260, issued on Jun 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Jun 3, 2024.