Willis, Betty

Willis, Betty is an individual health care provider with primary practice located at 400 Health Park Blvd , St Augustine FL 32086-5784. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Willis, Betty can be contacted via phone (904) 819-4404.

Contact Information

Primary practice address
400 Health Park Blvd St Augustine FL 32086-5784
Phone: (904) 819-4404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND3202 Florida

Profile Details

NPI number 1992182786
LBN Legal business name Willis, Betty
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2015
Last updated Apr 30th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers