Willard Ray Shell
Willard Ray Shell is an Attendant Care Provider in Hesperia, California. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
17764 Eucalyptus StHesperia, CA 92345-5153
Phone: (760) 995-0069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1144862194 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 10, 2019 |
| Last updated in NPPES | October 10, 2019 |
| Mailing address | 17764 Eucalyptus St, Hesperia, CA 92345-5153 |
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Trinity Ann Keife
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