Individual
MRS. ANGELIQUE DAVIS-WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4701 OGLETOWN STANTON RD, SUITE 2131, NEWARK, DE 19713-2055
(302) 266-7800
(302) 266-7851
Mailing address
3401 BRANDYWINE PKWY, STE#202, WILMINGTON, DE 19803-1554
(302) 477-1706
(302) 477-1708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000816
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5-0000816
PHYSICIAN ASSISTANT LICENSE
DE
Enumeration date
03/05/2013
Last updated
09/18/2014
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