Individual
DEMETRIUS SHAMOND WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
14011 PARK AVE, VICTORVILLE, CA 92392-2413
(760) 843-2000
Mailing address
13484 COOLWATER ST, VICTORVILLE, CA 92392-8914
(909) 605-3300
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
249789
CA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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