Individual
MICHAEL R WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8600
Mailing address
1592 OLGA WAY, PALM SPRINGS, CA 92262-3431
(619) 816-0062
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
695569
CA
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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