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Individual

TONIA MARIE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.P.

Contact information

Practice address
1701 BROADWAY ST # 370, VANCOUVER, WA 98663-3436
(360) 513-2484
Mailing address
5519 NE 49TH AVE, VANCOUVER, WA 98661-7803
(360) 513-2484

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
10832
OR
174400000X
Specialist
Primary
MA00018210
WA

Other

Enumeration date
03/07/2007
Last updated
03/12/2012
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