Individual provider · Type 1 NPI

Shannon Wills

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

NPI number 1306297478 Active

Practice location

3990 Old Town Ave Ste C201
San Diego, CA 92110-2933

Call (619) 278-2400 Map

Mailing address

3856 Yosemite St
Napa, CA 94558-2347

Specialties and licenses

TaxonomyCodeLicense
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 1306297478

Shannon Wills's National Provider Identifier is 1306297478, issued on Jun 29, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2016.