Individual
MRS. MARY ELLEN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7000
Mailing address
17565 W WINDROSE DR, SURPRISE, AZ 85388-5645
(313) 304-9476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN200525
AZ
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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