LARON WILLIS

Community Health Worker

Active Individual
NPI: 1730772237

Practice Address

5003 COLONIAL PARK DR APT D
South Charleston, WV 25309

Phone: (681) 945-7421

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1730772237 is the National Provider Identifier for LARON WILLIS, a Community Health Worker provider located in South Charleston, WV. This NPI was enumerated on February 16, 2021.
LARON WILLIS practices at 5003 COLONIAL PARK DR APT D, South Charleston, WV 25309.

Quick Facts

NPI
1730772237
Type
Individual
Enumerated
Feb 16, 2021
Last Updated
Feb 16, 2021

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