| Dr Holly Nichole Willison, DC | |
|
2250 S Main St Ste 203, Corona, CA 92882-2506 | |
| (800) 595-2447 | |
| Not Available |
| Full Name | Dr Holly Nichole Willison |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 2250 S Main St Ste 203, Corona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942838255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 34769 (California) | Primary |
| Provider Name | Integrated Medical Center Of Corona Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023400322 PECOS PAC ID: 4981904737 Enrollment ID: O20151130000961 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Holly Nichole Willison, DC 2250 S Main St Ste 203, Corona, CA 92882-2506 Ph: (800) 595-2447 | Dr Holly Nichole Willison, DC 2250 S Main St Ste 203, Corona, CA 92882-2506 Ph: (800) 595-2447 |
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