Individual
DIANE CECILIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
323 S UNION AVE, HAVRE DE GRACE, MD 21078-3201
(410) 939-0961
(410) 939-7832
Mailing address
930 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3718
(410) 939-0961
(410) 939-7832
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002014
MD
363AM0700X
Medical Physician Assistant
C0002014
MD
363AS0400X
Surgical Physician Assistant
C0002014
MD
Other
Enumeration date
02/21/2006
Last updated
02/28/2018
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