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Individual

ALEXIS WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7350 FORSYTHIA LN, NORTHFIELD, OH 44067-2800
(216) 544-5902
Mailing address
7350 FORSYTHIA LN, NORTHFIELD, OH 44067-2800
(216) 544-5902

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202125400792
LLC STATE LICENSE
OH
Enumeration date
09/25/2021
Last updated
09/25/2021
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