Individual
MICAH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4520 EDGEWOOD PL, LOS ANGELES, CA 90019-1801
(323) 314-1341
Mailing address
4520 EDGEWOOD PL, LOS ANGELES, CA 90019-1801
(323) 314-1341
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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