Individual
MS. STACY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
529 MAPLE AVE, LOS ANGELES, CA 90013-1511
(213) 430-6713
Mailing address
3515 CRESTWOLD AVE, LOS ANGELES, CA 90043-1846
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
465298
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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