Individual
DEMETRIUS WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4109 VIA MAR, SAN LUIS REY, CA 92057
(619) 949-8896
Mailing address
PO BOX 68, SAN LUIS REY, CA 92068-0068
(858) 717-0328
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
00074153
CA
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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