Individual
DIANE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17305 HILLSBORO RD, CLEVELAND, OH 44112-1564
(216) 242-9143
Mailing address
17305 HILLSBORO RD, CLEVELAND, OH 44112-1564
(216) 242-9143
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
RM696521
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2651974
—
OH
Enumeration date
07/02/2014
Last updated
07/02/2014
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