Individual
ALICIA GENE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 ASHBERRY CT APT 1, MISSOULA, MT 59801-8355
(253) 250-6484
Mailing address
3317 52ND PL NE, TACOMA, WA 98422-4522
(253) 250-6484
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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