Individual
MS. LAVERNE E FORNEY-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
1000 BROADWAY AVE, OAKLAND, CA 94607
(510) 595-6316
Mailing address
1000 BROADWAY, OAKLAND, CA 94607-4099
(510) 595-6316
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
547050
CA
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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