Individual
KEITH WILLIAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1850 5TH AVE UNIT 4, SAN DIEGO, CA 92101
(619) 394-1778
Mailing address
1850 5TH AVE UNIT 4, SAN DIEGO, CA 92101
(619) 394-1778
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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