NPI 1053814426
Kentoya Venga Willis
Practice location
- Address
- 4504 Edinburgh Dr, Tyler, TX 75703-2303
- Phone
- (903) 539-7754
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1053814426
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Mar 2018
- Record last updated
- 13 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.