Individual
DANICA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8644 MASON LANE, BRUNEAU, ID 89832
(208) 759-3217
Mailing address
PO BOX 275, OWYHEE, NV 89832-0275
(208) 759-3217
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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