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Organization
MEDICAL RESOURCE INC
Active
Organization
MEDICAL RESOURCE INC
Active
Other names
Mobile Medical Resource Inc
Organization subpart
No
Provider details
NPI number
Authorized official
WINIFRED WILLIAMS M.D. (PHYSICIAN)
(323) 434-0434
Entity
Organization
Contact information
Practice address
5150 CANDLEWOOD ST, SUITE 9E, LAKEWOOD, CA 90712-1925
(562) 920-9200
Mailing address
5150 CANDLEWOOD ST, SUITE 9E, LAKEWOOD, CA 90712-1925
(562) 920-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A70389
CA
208000000X
Pediatrics Physician
A70389
CA
Other
Enumeration date
09/10/2014
Last updated
03/13/2015
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