Individual
MARK ANDAMO WILLIAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
115 E FESLER ST, SANTA MARIA, CA 93454-4404
(805) 922-5978
Mailing address
115 E FESLER ST, SANTA MARIA, CA 93454-4404
(805) 922-5978
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37700
CA
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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