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Individual

AVERY M WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHLEBOTOMY, EMT

Contact information

Practice address
25096 JEFFERSON AVE STE B-206, MURRIETA, CA 92562-1705
(925) 321-6353
Mailing address
25096 JEFFERSON AVE STE B-206, MURRIETA, CA 92562-1705
(925) 321-6353

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E113393
CA
246RP1900X
Phlebotomy Technician
Primary
CPT58240
CA
374U00000X
Home Health Aide
376K00000X
Nurse's Aide
CA

Other

Enumeration date
08/28/2019
Last updated
05/13/2020
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