Individual provider · Type 1 NPI
Jody Willetts
Other Technician · Moreno Valley, CA
NPI number
1992919583
Active
Practice location
11480 Tiffany Lane
Moreno Valley, CA 92557
Mailing address
12625 Frederick St, STE.L-5#149
Moreno Valley, CA 92553-5216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | None listed |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
About NPI 1992919583
Jody Willetts's National Provider Identifier is 1992919583, issued on May 10, 2007. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Moreno Valley, CA. The record was last updated on Sep 22, 2009.