Individual
TAZARIYA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4665 OMAHA BEACH ST, FORT IRWIN, CA 92310-1914
(254) 290-9826
Mailing address
4665 OMAHA BEACH ST, FORT IRWIN, CA 92310-1914
(254) 290-9826
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
000040546093
NC
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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