Willis, Jenica Marissa

Willis, Jenica Marissa is an individual health care provider with primary practice located at 4208 Rosedale Hwy Ste 202 , Bakersfield CA 93308-6172. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Willis, Jenica Marissa can be contacted via phone (661) 234-9894.

Contact Information

Primary practice address
4208 Rosedale Hwy Ste 202 Bakersfield CA 93308-6172
Phone: (661) 234-9894
Fax: (661) 360-6243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L-302379 California

Profile Details

NPI number 1962099804
LBN Legal business name Willis, Jenica Marissa
Credentials IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2020
Last updated Dec 27th, 2020 - about 4 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.

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