Ardelia Willis
Ardelia Willis is an Other Technician in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2016.
- Licensed in
- TX
- In the registry since
- 2016
Practice location Address checks out
1612 Nokomis AveDallas, TX 75224-3740
Phone: (469) 427-9531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X · Licence 29433880 (TX) |
|---|
Record details
| NPI number | 1588012967 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 26, 2016 |
| Last updated in NPPES | May 26, 2016 |
| Mailing address | 1612 Nokomis Ave, Dallas, TX 75224-3740 |
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