Individual
DONALD RAY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4143 4TH AVE, LOS ANGELES, CA 90008-3901
(213) 293-1701
Mailing address
4143 4TH AVE, LOS ANGELES, CA 90008-3901
(213) 293-1701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15153
CA
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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