Individual
BRENDAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
15218 SUMMIT AVE STE 300-130, FONTANA, CA 92336-0232
(909) 255-2661
Mailing address
15218 SUMMIT AVE STE 300-130, FONTANA, CA 92336-0232
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
834447
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002423
CA
Other
Enumeration date
07/16/2024
Last updated
07/30/2024
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