Willis, Keita

Willis, Keita is an sole proprietor health care provider with primary practice located at 8159 W Deanna Dr , Peoria AZ 85382-3456. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Willis, Keita can be contacted via phone (480) 236-2677.

Contact Information

Primary practice address
8159 W Deanna Dr Peoria AZ 85382-3456
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 5374347 Arizona

Profile Details

NPI number 1497176937
LBN Legal business name Willis, Keita
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2013
Last updated Dec 31st, 2013 - about 12 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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