Individual
DOMINIC DESEAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RKT
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
826 SW AMBERWOOD LOOP # 810-105, LAKE CITY, FL 32025-6979
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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