Provider Information for 1215593462
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
ARIANE ALESHA ALAINA WILLIS-SMITH
Sex: Female
NPI: 1215593462
Last Updated: 2023-09-22
Certification Date: 2023-09-22
Certification Date: 2023-09-22
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1215593462 | ||||||||||||||||
| Enumeration Date | 2019-05-14 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 8508 YUCCA ST SANTEE, CA 92071-2080 United States Phone: | Fax: | ||||||||||||||||
| Primary Practice Address | 1630 E MAIN ST EL CAJON, CA 92021-5204 United States Phone: 877-496-0450 | Fax: | ||||||||||||||||
| Secondary Practice Address(es) | 3002 ARMSTRONG ST 1560 CAPALINA RD 545 LAUREL ST | ||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||
| Other Identifiers |
| ||||||||||||||||
| Taxonomy |
|